Provider Demographics
NPI:1477588309
Name:WOOD, BARTON SMITH (MD)
Entity Type:Individual
Prefix:
First Name:BARTON
Middle Name:SMITH
Last Name:WOOD
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:PO BOX 927
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-0927
Mailing Address - Country:US
Mailing Address - Phone:205-663-1180
Mailing Address - Fax:205-663-1221
Practice Address - Street 1:636 2ND ST NE
Practice Address - Street 2:SUITE A
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8817
Practice Address - Country:US
Practice Address - Phone:205-663-1180
Practice Address - Fax:205-663-1221
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23004208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1710635OtherUNITED HEALTH CARE
ALWOO51553562Medicaid
051515715WOOOtherBLUE CROSS
051515715WOOOtherBLUE CROSS
1710635OtherUNITED HEALTH CARE