Provider Demographics
NPI:1811974454
Name:BARTFIELD, ALISON A (MD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:A
Last Name:BARTFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 746638
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6638
Mailing Address - Country:US
Mailing Address - Phone:904-202-2092
Mailing Address - Fax:904-376-4075
Practice Address - Street 1:820 PRUDENTIAL DR STE 304
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8205
Practice Address - Country:US
Practice Address - Phone:904-346-3649
Practice Address - Fax:904-348-5627
Is Sole Proprietor?:No
Enumeration Date:2005-12-26
Last Update Date:2024-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME72097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110241553OtherRR MEDICARE
FL2566478-00Medicaid
FL2566478-00Medicaid
G93590Medicare UPIN