Provider Demographics
NPI:1326112038
Name:ALABAMA OBGYN SPECIALISTS
Entity Type:Organization
Organization Name:ALABAMA OBGYN SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCOIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:BLAUDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-930-0080
Mailing Address - Street 1:3401 INDEPENDENCE DR STE 221
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5620
Mailing Address - Country:US
Mailing Address - Phone:205-930-0080
Mailing Address - Fax:205-802-2240
Practice Address - Street 1:3401 INDEPENDENCE DR STE 221
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-5620
Practice Address - Country:US
Practice Address - Phone:205-930-0080
Practice Address - Fax:205-802-2240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00015825207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51086866OtherBCBS
AL529930620Medicaid
AL51086958OtherBCBS
AL51086959OtherBCBS
AL000086959Medicare PIN
AL000086866Medicare PIN
AL529930620Medicaid