Provider Demographics
NPI:1235134735
Name:O'NEAL, DAVID BAKER (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BAKER
Last Name:O'NEAL
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 1:1004 1ST ST N STE 150
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8617
Mailing Address - Country:US
Mailing Address - Phone:205-620-8723
Mailing Address - Fax:205-620-8724
Practice Address - Street 1:1004 1ST ST N STE 150
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8617
Practice Address - Country:US
Practice Address - Phone:205-620-8723
Practice Address - Fax:205-620-8724
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL114072084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000014760Medicare ID - Type Unspecified
C74495Medicare UPIN