Provider Demographics
NPI:1639111446
Name:DUMAS, ROLAND F JR (MD)
Entity Type:Individual
Prefix:
First Name:ROLAND
Middle Name:F
Last Name:DUMAS
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:PO BOX 660928
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35266-0928
Mailing Address - Country:US
Mailing Address - Phone:205-211-2339
Mailing Address - Fax:205-877-1821
Practice Address - Street 1:2018 BROOKWOOD MEDICAL CTR DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6898
Practice Address - Country:US
Practice Address - Phone:205-877-2339
Practice Address - Fax:205-211-1821
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL108672085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000036144Medicaid
ALC76088Medicare UPIN
AL000036144Medicare ID - Type Unspecified