Individual
DR. ROOSEVELT MCCORVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2455 BELL RD, MONTGOMERY, AL 36117-4336
(334) 747-8980
(334) 747-8970
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 273-4159
(334) 273-4290
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.7451
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933571
—
AL
01
—
102I68010
MEDICARE
AL
05
—
200583
—
AL
05
—
200816
—
AL
05
—
202249
—
AL
01
—
511-94291
BCBS
AL
01
—
511-94292
BCBS
AL
01
—
511-94294
BCBS
AL
01
—
6614160
CIGNA
AL
01
—
P01873133
RAILROAD MEDICARE
AL
Enumeration date
08/30/2006
Last updated
03/17/2018
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