Provider Demographics
NPI:1952317364
Name:PITTS, JAMES RANDALL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RANDALL
Last Name:PITTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:RANDALL
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:114 SADDLE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-4977
Mailing Address - Country:US
Mailing Address - Phone:205-504-0346
Mailing Address - Fax:205-504-0346
Practice Address - Street 1:114 SADDLE LAKE DR
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-4977
Practice Address - Country:US
Practice Address - Phone:205-504-0346
Practice Address - Fax:205-504-0346
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5420207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630862256OtherTAX ID NUMBER
ALC75240Medicare UPIN