Provider Demographics
NPI:1477601821
Name:RYCE, PATRICK E SR (M D)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:E
Last Name:RYCE
Suffix:SR
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 RIVERCHASE PKWY E
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2858
Mailing Address - Country:US
Mailing Address - Phone:205-220-2136
Mailing Address - Fax:205-220-6477
Practice Address - Street 1:450 RIVERCHASE PKWY E
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-2858
Practice Address - Country:US
Practice Address - Phone:205-220-2136
Practice Address - Fax:205-220-6477
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.7269207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC74015Medicare UPIN