Individual
JAMES MICHAEL JOHNSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-9100
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2006031525
MO
207T00000X
Neurological Surgery Physician
Primary
30171
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00189068
—
MS
01
—
051107795
BCBS
AL
01
—
051107797
BCBS
AL
01
—
051107798
BCBS
AL
01
—
051107799
BCBS
AL
05
—
120551
—
AL
05
—
120554
—
AL
05
—
120555
—
AL
05
—
120556
—
AL
Enumeration date
04/11/2007
Last updated
08/31/2011
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