Provider Demographics
NPI:1013961234
Name:NABERS JR, JAMES W (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:NABERS JR
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 1220
Mailing Address - Street 2:
Mailing Address - City:RED BAY
Mailing Address - State:AL
Mailing Address - Zip Code:35582-1220
Mailing Address - Country:US
Mailing Address - Phone:256-356-9537
Mailing Address - Fax:256-356-2315
Practice Address - Street 1:219 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:RED BAY
Practice Address - State:AL
Practice Address - Zip Code:35582
Practice Address - Country:US
Practice Address - Phone:256-356-9537
Practice Address - Fax:256-356-2315
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD0252207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51020601NABOtherBLUE CROSS BLUE SHIELD
MI0122284Medicaid
AL000020601Medicaid
AL51527555OtherRURAL HEALTH BCBS
AL541003938Medicaid