Individual provider · NPI-1
Dr. Brendan C Anzalone, DO
Emergency Medicine · Birmingham, AL
NPI number1700954088
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1700954088
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brendan C Anzalone
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2006
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | DO.1159 | AL | Yes |
| 207P00000X | Emergency Medicine | 2006-01308 | NC | |
| 207P00000X | Emergency Medicine | 1159 | AL |
Practice location
1806 6th Ave SBirmingham, AL 35233-1932
Phone 205-975-7388
Mailing address
Po Box 11407 Drawer 624Birmingham, AL 35246-0624
Other practice locations
619 19th St S
Birmingham, AL 35233-1900
Birmingham, AL 35233-1900
Phone 205-934-5105
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