Provider Demographics
NPI:1720049018
Name:MADDUX, APRIL J (MD)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:J
Last Name:MADDUX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 BROOKWOOD MEDICAL CTR DR
Mailing Address - Street 2:POB SUITE 207
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6898
Mailing Address - Country:US
Mailing Address - Phone:205-702-6604
Mailing Address - Fax:205-877-2983
Practice Address - Street 1:2018 BROOKWOOD MEDICAL CTR DR
Practice Address - Street 2:POB SUITE 207
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6898
Practice Address - Country:US
Practice Address - Phone:205-877-2987
Practice Address - Fax:205-877-2983
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00022902174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009974105Medicaid
AL529921430Medicaid
AL1720049018OtherNPI
ALI21508Medicare UPIN
AL51524822Medicare ID - Type Unspecified