Provider Demographics
NPI:1275746992
Name:PROCTOR, JAMES BRADLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRADLEY
Last Name:PROCTOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:701 UNIVERSITY BLVD. EAST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-7428
Mailing Address - Country:US
Mailing Address - Phone:205-752-0694
Mailing Address - Fax:205-752-6244
Practice Address - Street 1:701 UNIVERSITY BLVD. EAST
Practice Address - Street 2:SUITE 400
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-7428
Practice Address - Country:US
Practice Address - Phone:205-752-0694
Practice Address - Fax:205-752-6244
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL28583207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease