Provider Demographics
NPI:1437111002
Name:WALKER, ALBERT BEDFORD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:BEDFORD
Last Name:WALKER
Suffix:JR
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:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:36555-0307
Mailing Address - Country:US
Mailing Address - Phone:251-965-3320
Mailing Address - Fax:251-965-3315
Practice Address - Street 1:14975 HWY 98
Practice Address - Street 2:
Practice Address - City:MAGNOLIA SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:36555
Practice Address - Country:US
Practice Address - Phone:251-965-3320
Practice Address - Fax:251-965-3315
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00007965174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51008277OtherBC/BS PROVIDER #
AL51008277OtherBC/BS PROVIDER #