Provider Demographics
NPI:1457560245
Name:ESTES, ASHLEY REED (MD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:REED
Last Name:ESTES
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 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:833 ST. VINCENT'S DRIVE, BUILDING 3, SUITE 403
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1614
Practice Address - Country:US
Practice Address - Phone:205-939-0447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL27932207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04428841Medicaid
AL051118404OtherBCBS
AL130213Medicaid
AL051118402OtherBCBS
AL130215Medicaid
AL130216Medicaid
AL051118406OtherBCBS
AL051118405OtherBCBS
AL130214Medicaid
ALZ19064OtherVIVA
MS04428841Medicaid