Provider Demographics
NPI:1851341226
Name:MORRIS, ENOCH CARTER III (MD)
Entity Type:Individual
Prefix:
First Name:ENOCH
Middle Name:CARTER
Last Name:MORRIS
Suffix:III
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 1:3125 INDEPENDENCE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4164
Mailing Address - Country:US
Mailing Address - Phone:205-986-5200
Mailing Address - Fax:205-986-5250
Practice Address - Street 1:3125 INDEPENDENCE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4164
Practice Address - Country:US
Practice Address - Phone:205-986-5200
Practice Address - Fax:205-986-5250
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10971207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51542409OtherBLUE CROSS
ALC74571OtherHEALTH SPRING
AL009953070Medicaid
ALC74571OtherSENIORS FIRST
AL374211700OtherUS DEPT. OF LABOR
AL51500941OtherBLUE CROSS AND BLUE SHIEL
AL009942938Medicaid
AL051500941OtherUNITED HEALTH CARE
AL051500941OtherBLUE ADVANTAGE
AL9211344OtherCIGNA INSURANCE
140007367Medicare PIN
ALC74571OtherSENIORS FIRST
AL6151720001Medicare NSC
ALC74571Medicare UPIN