Provider Demographics
NPI:1609978964
Name:CHRISTOPHER, REID S (MD)
Entity Type:Individual
Prefix:DR
First Name:REID
Middle Name:S
Last Name:CHRISTOPHER
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 1:1088 9TH AVENUE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022
Mailing Address - Country:US
Mailing Address - Phone:205-426-0546
Mailing Address - Fax:205-426-0326
Practice Address - Street 1:108 9TH AVENUE
Practice Address - Street 2:SUITE 104
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022
Practice Address - Country:US
Practice Address - Phone:205-426-0546
Practice Address - Fax:205-426-0326
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13536174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051555677Medicaid
ALC73160Medicare UPIN
AL051555677REIMedicare ID - Type Unspecified