Individual
DR. GREGORY LEE BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 PRINCETON AVE SW STE 200B, BIRMINGHAM, AL 35211-1302
(205) 776-8600
(205) 776-8603
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35202-1407
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25239
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25239
STATE LICENSE
AL
05
—
529914040
—
AL
Enumeration date
05/05/2006
Last updated
03/26/2024
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