Provider Demographics
NPI:1518029024
Name:MURPHY, TIMOTHY PATRICK (DPM)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:PATRICK
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30723A EMBER LN
Mailing Address - Street 2:UNIT 2
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-5105
Mailing Address - Country:US
Mailing Address - Phone:251-621-8699
Mailing Address - Fax:251-621-7450
Practice Address - Street 1:30723A EMBER LN
Practice Address - Street 2:UNIT 2
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-5105
Practice Address - Country:US
Practice Address - Phone:251-621-8699
Practice Address - Fax:251-621-7450
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL238213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51098551OtherBCBS
AL51514149OtherBCBS SARALAND
AL5159781OtherBCBS TILLMAN
AL5159781OtherBCBS TILLMAN
ALU80997Medicare UPIN