Provider Demographics
NPI:1598763161
Name:WALKER, HERBERT PEYTON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:PEYTON
Last Name:WALKER
Suffix:JR
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 1:3140 CAHABA HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5243
Mailing Address - Country:US
Mailing Address - Phone:205-967-7302
Mailing Address - Fax:205-969-0871
Practice Address - Street 1:3140 CAHABA HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-5243
Practice Address - Country:US
Practice Address - Phone:205-967-7302
Practice Address - Fax:205-969-0971
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10530207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL13509Medicaid
13509Medicare ID - Type Unspecified
AL13509Medicaid