Provider Demographics
NPI:1497791628
Name:HARMON, CHRISTOPHER BARRY (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BARRY
Last Name:HARMON
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 1:1940 STONEGATE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HLS
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2541
Mailing Address - Country:US
Mailing Address - Phone:205-977-9876
Mailing Address - Fax:205-977-9976
Practice Address - Street 1:1940 STONEGATE DR STE 130
Practice Address - Street 2:
Practice Address - City:VESTAVIA HLS
Practice Address - State:AL
Practice Address - Zip Code:35242
Practice Address - Country:US
Practice Address - Phone:205-977-9876
Practice Address - Fax:205-977-9976
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20579207N00000X, 207NS0135X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051517164OtherBC
AL051517266OtherBC
AL51048363OtherBC
AL051029893OtherBC
AL51048365OtherBC
AL510I070017OtherMEDICARE
AL98405OtherCIGNA
AL107774Medicaid
AL700013978OtherRAILROAD MEDICARE
AL0310014OtherUHC
AL070010365OtherRAILROAD MCR
AL051505578OtherBC
ALF45566OtherVIVA
AL051594928OtherBC
AL5994527OtherAETNA
AL51594928OtherBC
AL98405OtherCIGNA
AL051505578OtherBC
AL051029893OtherBC