Provider Demographics
NPI:1952315343
Name:SHERMAN, ALAN JAY (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:JAY
Last Name:SHERMAN
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:PO BOX 850489
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36685-0489
Mailing Address - Country:US
Mailing Address - Phone:251-342-3949
Mailing Address - Fax:251-631-3361
Practice Address - Street 1:5100 RANGELINE SERVICE RD N
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619-9504
Practice Address - Country:US
Practice Address - Phone:251-661-4454
Practice Address - Fax:251-661-9843
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00020441207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000093098Medicaid
AL51093098OtherBCBS OF AL
AL0110137OtherUNITED HEALTHCARE
AL080167762OtherRAILROAD MEDICARE
AL5683202OtherAETNA
AL080167762OtherRAILROAD MEDICARE
AL000093098Medicare ID - Type Unspecified