Provider Demographics
NPI:1962475749
Name:WALKER, JAMES J JR (M D)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 BELLEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:BREWTON
Mailing Address - State:AL
Mailing Address - Zip Code:36426-1500
Mailing Address - Country:US
Mailing Address - Phone:251-867-6071
Mailing Address - Fax:251-867-5999
Practice Address - Street 1:1121 BELLEVILLE AVE
Practice Address - Street 2:
Practice Address - City:BREWTON
Practice Address - State:AL
Practice Address - Zip Code:36426-1505
Practice Address - Country:US
Practice Address - Phone:251-809-3170
Practice Address - Fax:251-867-5999
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14004207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL512-43312OtherBCBS OF AL
AL251758Medicaid
AL000080017Medicaid
AL51080017WALMedicare ID - Type Unspecified