Provider Demographics
NPI:1649581752
Name:DEAN, JAMES ALEXANDER II (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALEXANDER
Last Name:DEAN
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7987
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36670-0987
Mailing Address - Country:US
Mailing Address - Phone:251-633-0573
Mailing Address - Fax:251-633-7367
Practice Address - Street 1:5955 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3135
Practice Address - Country:US
Practice Address - Phone:251-633-0573
Practice Address - Fax:251-633-7367
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1235207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL3499356OtherUHC
AL511-88277OtherBCBS
AL512-07779OtherBCBS
ALP01727296OtherRR MEDICARE
AL203470Medicaid
AL213943Medicaid
AL511-88278OtherBCBS
ALZ44460OtherVIVA HEALTH
AL4500746OtherCIGNA HC
AL511-07780OtherBCBS
AL511-81582OtherBCBS
AL102I114401OtherMEDICARE
AL4863497OtherAETNA
AL0133377OtherMS MEDICAID
AL205216Medicaid
AL213000Medicaid