Provider Demographics
NPI:1811982556
Name:MATIC, JAMES JURE (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JURE
Last Name:MATIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:BIRMINGHAM
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-1061
Mailing Address - Country:US
Mailing Address - Phone:205-437-6098
Mailing Address - Fax:205-437-5998
Practice Address - Street 1:900 DEER TRACE RD
Practice Address - Street 2:PELL CITY
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-6452
Practice Address - Country:US
Practice Address - Phone:205-814-2104
Practice Address - Fax:205-814-2145
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00017681207P00000X
AL17681207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5963165OtherAETNA
AL051520969OtherBCBS
AL051520969Medicaid
AL051520969Medicare PIN
F66739Medicare UPIN
AL5963165OtherAETNA