Individual
DR. BRENDAN C ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1806 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 975-7388
Mailing address
PO BOX 11407 DRAWER 624, BIRMINGHAM, AL 35246-0624
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1159
AL
207P00000X
Emergency Medicine Physician
2006-01308
NC
207P00000X
Emergency Medicine Physician
Primary
DO.1159
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122963
—
AL
01
—
1700954088
TRICARE SOUTH
AL
01
—
511-10189
BCBS
AL
01
—
Z12062
VIVA HEALTH
AL
Enumeration date
12/02/2006
Last updated
06/29/2023
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