Basic Information
Provider Information
NPI: 1538179106
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RONEY
FirstName: CHRISTOPHER
MiddleName: WALTON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1130 22ND ST S STE 1000
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352052881
CountryCode: US
TelephoneNumber: 2057155943
FaxNumber: 2057155932
Practice Location
Address1: 2010 BROOKWOOD MEDICAL CTR DR
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 35209
CountryCode: US
TelephoneNumber: 2057837970
FaxNumber: 2057837695
Other Information
ProviderEnumerationDate: 08/08/2006
LastUpdateDate: 05/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X24068ALN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X24068ALY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

ID Information
IDTypeStateIssuerDescription
00995167505AL MEDICAID


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