Provider Demographics
NPI:1437126117
Name:JONES, BRUCE MCALPIN (MD)
Entity Type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:MCALPIN
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BRUCE
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 70365
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36107-0365
Mailing Address - Country:US
Mailing Address - Phone:334-420-5001
Mailing Address - Fax:334-420-0158
Practice Address - Street 1:203 N TAYLOR ST
Practice Address - Street 2:
Practice Address - City:AUTAUGAVILLE
Practice Address - State:AL
Practice Address - Zip Code:36003-2663
Practice Address - Country:US
Practice Address - Phone:334-365-4524
Practice Address - Fax:334-365-8603
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7528207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B30110Medicare UPIN