Provider Demographics
NPI:1821191735
Name:JONES, DENNIS MALCOLM (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:MALCOLM
Last Name:JONES
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 1:2016 STONEGATE TRAIL
Mailing Address - Street 2:SUITE 112
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2260
Mailing Address - Country:US
Mailing Address - Phone:205-545-9530
Mailing Address - Fax:205-545-9529
Practice Address - Street 1:50 MEDICAL PARK DR E
Practice Address - Street 2:ST. VINCENT'S EAST
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3401
Practice Address - Country:US
Practice Address - Phone:205-545-9530
Practice Address - Fax:205-545-9529
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00022812207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051505059JONOtherBCBS MEDICAL CENTER EAST
AL351890800OtherDEPT OF LABOR
ALCH5239OtherRR MEDICARE
AL529910000Medicaid
ALC141OtherBCBS
ALJ0009977320Medicaid
AL604336100OtherDEPT OF LABOR
ALC144OtherBCBS
AL529905830Medicaid
ALCK8418OtherRR MEDICARE
ALJ0009977320Medicaid
ALCH5239OtherRR MEDICARE
ALCK8418OtherRR MEDICARE
ALI756Medicare PIN