Individual
JACK DAVID DENVER
Active
Individual
JACK DAVID DENVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
00017495
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000085235
—
AL
01
—
051085235
BLUE CROSS BLUE SHIELD
AL
01
—
11492407
CAQH ID NUMBER
AL
01
—
609603500
DEPT OF LABOR
AL
Enumeration date
06/07/2006
Last updated
05/07/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up