Provider Demographics
NPI:1740251966
Name:HUNTER, VERNON ROSS JR (MD)
Entity type:Individual
Prefix:DR
First Name:VERNON
Middle Name:ROSS
Last Name:HUNTER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4312
Mailing Address - Country:US
Mailing Address - Phone:256-539-4080
Mailing Address - Fax:256-539-4099
Practice Address - Street 1:930 FRANKLIN ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4312
Practice Address - Country:US
Practice Address - Phone:256-539-4080
Practice Address - Fax:256-539-4099
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21004207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
060052957OtherRAILROAD MEDICARE
AL111869Medicaid
AL111882Medicaid
AL51598607OtherBCBS
AL000079113Medicaid
AL51049254OtherBCBS
AL51049256OtherBCBS
5314536OtherAETNA
AL111865Medicaid
AL111873Medicaid
AL111880Medicaid
AL111884Medicaid
TN3072756OtherBCBS
AL51049253OtherBCBS
AL51079113OtherBCBS
ALP00747499OtherRAILROAD MEDICARE
25-10090OtherUNITED HEALTHCARE
AL51049405OtherBCBS
AL51049406OtherBCBS
AL51598607OtherBCBS
AL111882Medicaid
AL111869Medicaid
AL000079113Medicaid