Provider Demographics
NPI:1609867803
Name:HIRSCH, JAMES RONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RONALD
Last Name:HIRSCH
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 1:6701 AIRPORT BLVD
Mailing Address - Street 2:STE D146
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6701
Mailing Address - Country:US
Mailing Address - Phone:251-287-2176
Mailing Address - Fax:251-287-2279
Practice Address - Street 1:6701 AIRPORT BLVD STE D146
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6701
Practice Address - Country:US
Practice Address - Phone:251-287-2176
Practice Address - Fax:251-287-2279
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL33723207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911411Medicaid
NC2253222Medicare ID - Type Unspecified
NC8911411Medicaid