Provider Demographics
NPI:1306814405
Name:DELONG, JAMES FRANCIS (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FRANCIS
Last Name:DELONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:FRANCIS
Other - Last Name:DELONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2147 RIVERCHASE OFFICE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1836
Mailing Address - Country:US
Mailing Address - Phone:205-403-8902
Mailing Address - Fax:205-982-0278
Practice Address - Street 1:6554 AARON ARONOV DR
Practice Address - Street 2:AMERICAN FAMILY CARE INC
Practice Address - City:FAIRFIELD
Practice Address - State:AL
Practice Address - Zip Code:35064
Practice Address - Country:US
Practice Address - Phone:205-786-5022
Practice Address - Fax:205-786-5028
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7380207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00111804OtherRAILROAD MEDICARE
AL009950435Medicaid
AL051517754OtherBLUE CROSS BLUE SHIELD
AL051517748Medicare ID - Type Unspecified
AL009950435Medicaid