Individual
RICKY L FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21526
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009947355
—
AL
01
—
051520885
BLUE CROSS
AL
01
—
P00101365
RAILROAD MEDICARE
AL
Enumeration date
06/15/2006
Last updated
07/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us