Individual
BARRY J GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1788 MCFARLAND BLVD N, SUITE B, TUSCALOOSA, AL 35406-2190
(205) 759-9100
(205) 759-1821
Mailing address
1788 MCFARLAND BLVD N, SUITE B, TUSCALOOSA, AL 35406-2190
(205) 759-9100
(205) 759-1821
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
272
AL
213E00000X
Podiatrist
272
AL
213EP0504X
Public Medicine Podiatrist
272
AL
213EP1101X
Primary Podiatric Medicine Podiatrist
272
AL
213ER0200X
Radiology Podiatrist
272
AL
213ES0000X
Sports Medicine Podiatrist
272
AL
213ES0103X
Foot & Ankle Surgery Podiatrist
272
AL
213ES0131X
Foot Surgery Podiatrist
Primary
272
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051004054
BCBS OF AL
AL
01
—
051537563
BCBS OF AL
AL
01
—
051537935
BCBS OF AL
AL
05
—
118680
—
AL
01
—
51527950
BCBS OF AL
—
01
—
51528212
BCBSAL PROVIDER #
AL
Enumeration date
04/26/2006
Last updated
07/23/2019
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