Provider Demographics
NPI:1912042433
Name:ATKINS, PATRICK BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:BRUCE
Last Name:ATKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1649 MCFARLAND BOULEVARD NORTH
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406
Mailing Address - Country:US
Mailing Address - Phone:205-345-3435
Mailing Address - Fax:205-345-3498
Practice Address - Street 1:1649 MCFARLAND BOULEVARD NORTH
Practice Address - Street 2:SUITE 201
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406
Practice Address - Country:US
Practice Address - Phone:205-345-3435
Practice Address - Fax:205-345-3498
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL145842084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051080928OtherBCBS
ALE20724Medicare UPIN
AL000080928Medicare ID - Type Unspecified