Provider Demographics
NPI:1992376982
Name:02 NEAL MEDICAL, INC.
Entity Type:Organization
Organization Name:02 NEAL MEDICAL, INC.
Other - Org Name:CPAP PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WOODY
Authorized Official - Last Name:ONEAL
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:205-989-9902
Mailing Address - Street 1:240 CAHABA VALLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-2212
Mailing Address - Country:US
Mailing Address - Phone:205-989-9902
Mailing Address - Fax:205-989-9903
Practice Address - Street 1:4647 HIGHWAY 280 STE W
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5032
Practice Address - Country:US
Practice Address - Phone:205-855-2808
Practice Address - Fax:205-989-9903
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:02 NEAL MEDICAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51262263OtherBCBS OF AL