Provider Demographics
NPI:1245212760
Name:LINDE, DAVID E (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:LINDE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INDEPENDENCE PLZ STE 530
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2646
Mailing Address - Country:US
Mailing Address - Phone:205-445-0661
Mailing Address - Fax:205-445-0664
Practice Address - Street 1:1 INDEPENDENCE PLZ STE 530
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-2646
Practice Address - Country:US
Practice Address - Phone:205-445-0661
Practice Address - Fax:205-445-0664
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL258213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL480034868OtherRRMC
051517254Medicare ID - Type Unspecified
AL4675830001Medicare NSC
U76799Medicare UPIN