Basic Information
| Provider Information | |||||||||
| NPI: | 1649581752 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEAN | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | ALEXANDER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 MEMORIAL HOSPITAL DR STE 1A | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366081128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516330573 | ||||||||
| FaxNumber: | 2516337367 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 MEMORIAL HOSPITAL DR STE 1A | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 36608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2513436848 | ||||||||
| FaxNumber: | 2513435708 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2010 | ||||||||
| LastUpdateDate: | 06/28/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | 1235 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207R00000X | 1235 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | P01727296 | 01 | AL | RR MEDICARE | OTHER | 213000 | 05 | AL | MEDICAID | 3499356 | 01 | AL | UHC | OTHER | 511-07780 | 01 | AL | BCBS | OTHER | 511-88277 | 01 | AL | BCBS | OTHER | 511-88278 | 01 | AL | BCBS | OTHER | Z44460 | 01 | AL | VIVA HEALTH | OTHER | 4500746 | 01 | AL | CIGNA HC | OTHER | 203470 | 05 | AL | MEDICAID | 205216 | 05 | AL | MEDICAID | 511-81582 | 01 | AL | BCBS | OTHER | 4863497 | 01 | AL | AETNA | OTHER | 102I114401 | 01 | AL | MEDICARE | OTHER | 213943 | 05 | AL | MEDICAID | 0133377 | 01 | AL | MS MEDICAID | OTHER | 512-07779 | 01 | AL | BCBS | OTHER |