Provider Demographics
NPI:1982647681
Name:CULLINAN, JAMES T (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:CULLINAN
Suffix:
Gender:M
Credentials:DO
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 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:619 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-934-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO-7202084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009975585Medicaid
AL260047285OtherRAILROAD MEDICARE
AL051502586Medicaid
AL051510243OtherBLUE CROSS
AL051525256OtherBLUE CROSS
AL1529819OtherUBH-PLUS
MS06879727Medicaid
AL051502586OtherBLUE CROSS
AL051506434OtherBC FEDERAL EHBP
AL051598283OtherBLUE CROSS
AL330500517OtherMEDICAID REHAB
AL009906155Medicaid
AL110326Medicaid
AL1529818OtherUBH-BASIC
AL110326Medicaid