Individual
JOHN W BADDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
21647
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934663
—
AL
05
—
009951950
—
AL
05
—
009951960
—
AL
01
—
051500637
BLUE CROSS
AL
05
—
051500637
—
AL
01
—
051500638
BLUE CROSS
AL
01
—
051500640
BLUE CROSS
AL
01
—
440003242
RAILROAD MEDICARE
AL
Enumeration date
05/23/2006
Last updated
06/14/2011
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