Individual
JASON R BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800
(205) 345-7000
(205) 343-0910
Mailing address
208 MCFARLAND CIR N, SUITE 100, TUSCALOOSA, AL 35406-1800
(205) 345-7000
(205) 343-0910
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24340
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938059
—
AL
05
—
009938061
—
AL
05
—
009938062
—
AL
05
—
009938063
—
AL
05
—
009938064
—
AL
05
—
009938066
—
AL
05
—
009938067
—
AL
05
—
009938068
—
AL
05
—
009938069
—
AL
05
—
009938071
—
AL
05
—
051557569
—
AL
Enumeration date
05/08/2006
Last updated
02/28/2021
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