Individual
BEN GREGORY BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 QUAIL RUN DR, CULLMAN, AL 35057-6959
(256) 339-3987
Mailing address
308 QUAIL RUN DR, CULLMAN, AL 35057-6959
(256) 339-3987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9937
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000026279
—
AL
01
—
51026279
BCBS OF AL
AL
01
—
E869
MEDICARE GROUP #
AL
Enumeration date
11/09/2005
Last updated
09/09/2025
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