Provider Demographics
NPI:1548242563
Name:DRUMMOND, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:DRUMMOND
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 1:817 PRINCETON AVE SW
Mailing Address - Street 2:SUITE 306
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1333
Mailing Address - Country:US
Mailing Address - Phone:205-783-0160
Mailing Address - Fax:205-788-6249
Practice Address - Street 1:817 PRINCETON AVE SW
Practice Address - Street 2:SUITE 306
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1333
Practice Address - Country:US
Practice Address - Phone:205-783-0160
Practice Address - Fax:205-788-6249
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000136862086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009914005Medicaid
ALMICH1440396OtherUMWA
AL009913995Medicaid
AL3710040OtherUNITEDHEALTH CARE
ALCL1402OtherRRM
ALE45266OtherSENIORS FIRST
AL009913975Medicaid
AL009931917Medicaid
ALE45266OtherHEALTH SPRINGS
AL000089937Medicaid
AL3710040OtherMEDICARE COMPLETE
AL009913985Medicaid
AL770000077OtherRAILROAD MEDICARE
ALE45266OtherVIVA HEALTH CARE
ALCL1402OtherRRM
AL3710040OtherMEDICARE COMPLETE
AL009914005Medicaid