Provider Demographics
NPI:1619972866
Name:BAIRD, ANGUS T (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGUS
Middle Name:T
Last Name:BAIRD
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 1:2000A SOUTHBRIDGE PKWY
Mailing Address - Street 2:STE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7718
Mailing Address - Country:US
Mailing Address - Phone:205-871-4274
Mailing Address - Fax:205-871-4301
Practice Address - Street 1:800 MONTCLAIR RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1908
Practice Address - Country:US
Practice Address - Phone:205-592-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000209162085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-27028OtherBLUE CROSS
AL141092Medicaid
AL511-64881OtherBLUE CROSS
AL141431Medicaid
AL176824Medicaid
AL510-35523OtherBLUE CROSS
AL511-27030OtherBLUE CROSS
AL511-69362OtherBLUE CROSS
AL511-70958OtherBLUE CROSS
AL511-27027OtherBLUE CROSS
AL511-66492OtherBLUE CROSS
AL511-66498OtherBLUE CROSS
AL141078Medicaid
AL141271Medicaid
AL511-27031OtherBLUE CROSS
AL511-66492OtherBLUE CROSS
AL511-27028OtherBLUE CROSS