Provider Demographics
NPI:1477507648
Name:DOWNEY, MARK JAMES (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:JAMES
Last Name:DOWNEY
Suffix:
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 1:10 OLD MONTGOMERY HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6797
Mailing Address - Country:US
Mailing Address - Phone:205-271-6504
Mailing Address - Fax:205-271-6513
Practice Address - Street 1:10 OLD MONTGOMERY HWY STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6797
Practice Address - Country:US
Practice Address - Phone:205-271-6504
Practice Address - Fax:205-271-6513
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00025657174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009912131Medicaid
AL009912131Medicaid