Provider Demographics
NPI:1922114354
Name:TOWNSEND, HENRY BERNARD (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:BERNARD
Last Name:TOWNSEND
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 1:12 OFFICE PARK CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2521
Mailing Address - Country:US
Mailing Address - Phone:205-933-0320
Mailing Address - Fax:205-933-6400
Practice Address - Street 1:12 OFFICE PARK CIR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2521
Practice Address - Country:US
Practice Address - Phone:205-933-0320
Practice Address - Fax:205-933-6400
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24592207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8P6809OtherBCBS
AL051117623OtherBCBS
TX1019259-03Medicaid
AL129102Medicaid
AL051117624OtherBCBS
AL129100Medicaid
AL051117622OtherBCBS
MS05285091Medicaid
AL129105Medicaid
AL129102Medicaid
TX1019259-03Medicaid
AL051117624OtherBCBS
AL051117623OtherBCBS