Individual
JEFFREY P BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
23310
AL
208600000X
Surgery Physician
23310
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055418
BLUE CROSS
AL
05
—
000055418
—
AL
01
—
00122957
MISSISSIPPI MEDICAID
MS
01
—
020046198
RAILROAD MEDICARE
AL
01
—
H15383
VIVA
AL
Enumeration date
05/24/2006
Last updated
06/28/2023
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