Provider Demographics
NPI:1750503041
Name:YEAGER, NEIL CAMERON (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:CAMERON
Last Name:YEAGER
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 1:1635 HIGHWAY 31 NW STE C
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-4426
Mailing Address - Country:US
Mailing Address - Phone:256-773-0110
Mailing Address - Fax:256-773-0121
Practice Address - Street 1:1635 HIGHWAY 31 NW STE C
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-4426
Practice Address - Country:US
Practice Address - Phone:256-773-0110
Practice Address - Fax:256-773-0121
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL-2810207Q00000X
AL28359207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529928340OtherMEDICAID PAYEE NUMBER
1750503041OtherUNITED HEALTH CARE
ALP00743306OtherMEDICARE RR
AL102I089894OtherMDCR ID
AL1750503041Medicaid
AL1598717381OtherMEDICAID GROUP NPI
ALE869OtherMEDICARE GROUP
AL112074Medicaid
1750503041OtherUNITED HEALTH CARE