Provider Demographics
NPI:1922020502
Name:DEY, GERALD CLARENCE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:CLARENCE
Last Name:DEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:100 PILOT MEDICAL DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3400
Mailing Address - Country:US
Mailing Address - Phone:205-854-8084
Mailing Address - Fax:205-815-9341
Practice Address - Street 1:100 PILOT MEDICAL DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3400
Practice Address - Country:US
Practice Address - Phone:205-854-8084
Practice Address - Fax:205-815-9341
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL22001207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51553723Medicaid
ALH42549Medicare UPIN
AL515537230Medicare ID - Type Unspecified