Provider Demographics
NPI:1235115296
Name:HINDMAN, JEFFREY CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:CURTIS
Last Name:HINDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2618 HICKORY FLATS TRAIL
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801
Mailing Address - Country:US
Mailing Address - Phone:256-881-2145
Mailing Address - Fax:
Practice Address - Street 1:401 MERIDIAN STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-705-3937
Practice Address - Fax:256-705-3937
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00008298207W00000X
TNMD0000017459207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000009077Medicaid
180037621OtherRAILROAD MEDICARE
AL000008474OtherMEDICARE PTAN
1497765721OtherNPI GROUP
051008474OtherBLUE CROSS BLUE SHIELD
051009077OtherBLUE CROSS BLUE SHIELD
3838450OtherCIGNA
AL000008474Medicaid
051008474OtherBLUE CROSS BLUE SHIELD
C751183Medicare UPIN