Individual
MICHAEL R CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
817 PRINCETON AVE SW, STE 115, BIRMINGHAM, AL 35211-1333
(205) 780-1963
(205) 780-1967
Mailing address
1445 ROSS AVE STE 1400, DALLAS, TX 75202-2703
(469) 893-2065
(469) 893-3065
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
10913
AL
207RP1001X
Pulmonary Disease Physician
Primary
10913
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081772
—
AL
01
—
110008009
RAILROAD MEDICARE PIN
AL
01
—
51081772
BLUE CROSS OF AL
AL
01
—
CL1358
RAILROAD MEDICARE GROUP #
AL
Enumeration date
08/21/2006
Last updated
12/27/2018
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