# HERBERT A. PHELAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538113469
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0102X | Surgical Critical Care Physician | 26277 | AL | — |
| 2086S0127X | Trauma Surgery Physician | 26277 | AL | — |
| 2086S0127X | Trauma Surgery Physician | L6574 | TX | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 05/06/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009981675 | — | AL |
| 05 | — | 009982245 | — | AL |
| 05 | — | 04551295 | — | MS |
| 05 | — | 272262300 | — | FL |
| 01 | — | 51526082 | BLUE CROSS | AL |
| 01 | — | 51526083 | BLUE CROSS | AL |
| 01 | — | 76-00405 | UNITED HEALTH CARE | AL |
