Provider Demographics
NPI:1881794436
Name:MCGRADY, VIRGIL E (DO)
Entity type:Individual
Prefix:
First Name:VIRGIL
Middle Name:E
Last Name:MCGRADY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6725 DEERFOOT PKWY
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126-3093
Mailing Address - Country:US
Mailing Address - Phone:205-680-9898
Mailing Address - Fax:205-680-3300
Practice Address - Street 1:6725 DEERFOOT PKWY
Practice Address - Street 2:
Practice Address - City:PINSON
Practice Address - State:AL
Practice Address - Zip Code:35126-3093
Practice Address - Country:US
Practice Address - Phone:205-680-9898
Practice Address - Fax:205-680-3300
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000089677Medicaid
AL1528122702OtherRAILROAD MEDICARE
AL000089677Medicaid
AL89677Medicare ID - Type Unspecified