Provider Demographics
NPI:1013071679
Name:TODD, DAVID COLE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:COLE
Last Name:TODD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4524 SOUTHLAKE PKWY
Mailing Address - Street 2:SUITE 26
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3270
Mailing Address - Country:US
Mailing Address - Phone:205-444-9484
Mailing Address - Fax:205-403-9192
Practice Address - Street 1:4524 SOUTHLAKE PKWY
Practice Address - Street 2:SUITE 26
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3270
Practice Address - Country:US
Practice Address - Phone:205-444-9484
Practice Address - Fax:205-403-9192
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1825111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51513862OtherBCBS ALABAMA
ALU85001Medicare UPIN
AL51513862OtherBCBS ALABAMA