Provider Demographics
NPI:1679634943
Name:MORGAN, JOHN D JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:MORGAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12366
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35202-2366
Mailing Address - Country:US
Mailing Address - Phone:205-780-7101
Mailing Address - Fax:205-206-8338
Practice Address - Street 1:832 PRINCETON AVE SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1320
Practice Address - Country:US
Practice Address - Phone:205-788-6688
Practice Address - Fax:205-788-0305
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9890207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL110211806OtherRR MEDICARE
AL9890OtherSTATE LIC
ALC73787OtherUNITEDHEALHCARE
AL512-20166OtherBCBS AL
ALC73787OtherHEALTHSPRING
ALC73787OtherVIVA
ALC73787OtherUNITEDHEALHCARE
AL009976145Medicaid
AL9890OtherSTATE LIC
ALC73787OtherVIVA
ALC73787Medicare UPIN
051506751Medicare ID - Type Unspecified