Provider Demographics
NPI:1134179013
Name:CHAIPRAKOB, JEFF (MD)
Entity type:Individual
Prefix:
First Name:JEFF
Middle Name:
Last Name:CHAIPRAKOB
Suffix:
Gender:M
Credentials:MD
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 59449
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35259-9449
Mailing Address - Country:US
Mailing Address - Phone:205-876-8988
Mailing Address - Fax:205-374-8534
Practice Address - Street 1:1960 GADSDEN HWY STE 120
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-4201
Practice Address - Country:US
Practice Address - Phone:205-876-8988
Practice Address - Fax:205-374-8534
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00025402207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051535519OtherBCBS
AL009938339Medicaid
AL009938341Medicaid
TN1376083OtherBCBS-TN
AL051535518OtherBCBS
ALI56522OtherHEALTHSPRINGS OF AL
AL0800390OtherUNITEDHEALTHCARE
AL009937872Medicaid
AL051535520OtherBCBS
AL933428OtherBLOCK VISION
ALI56522OtherVIVA HEALTH
AL0800390OtherUNITEDHEALTHCARE
AL0669280002Medicare NSC
AL051535518Medicare PIN
ALI56522OtherHEALTHSPRINGS OF AL
AL051535520OtherBCBS
ALP00325420Medicare PIN