Provider Demographics
NPI:1881649317
Name:MONTGOMERY-BAREFIELD, LAURA BRIDGETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:BRIDGETTE
Last Name:MONTGOMERY-BAREFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1592 WOODRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1658
Mailing Address - Country:US
Mailing Address - Phone:205-533-0022
Mailing Address - Fax:
Practice Address - Street 1:2100 SOUTHBRIDGE PKWY # 650
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-1317
Practice Address - Country:US
Practice Address - Phone:205-414-7402
Practice Address - Fax:445-800-8430
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL242882084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051505164OtherBLUE CROSS
AL1529816OtherUBH-BASIC
ALF24663OtherVIVA
AL009913736Medicaid
AL1529817OtherUBH-PLUS
AL009979740Medicaid
AL051551140Medicaid
AL110088Medicaid
AL051510126OtherBLUE CROSS
AL009900105Medicaid
AL051505163OtherBLUE CROSS
AL330500528OtherMEDICAID REHAB
AL009973740Medicaid
AL051507315OtherBLUE CROSS FEDERAL EHBP
AL051598050OtherBLUE CROSS
AL260048544OtherRAILROAD MEDICARE
AL1529816OtherUBH-BASIC
AL051598050OtherBLUE CROSS