Individual
INGRUM W BANKSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1780 MCFARLAND BLVD N, TUSCALOOSA, AL 35406-2136
(205) 345-7351
(205) 345-8476
Mailing address
1400 AFFLINK PL STE 101, TUSCALOOSA, AL 35406-2452
(205) 366-9740
(205) 344-9992
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036178315
IL
208800000X
Urology Physician
Primary
9502
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114341
—
AL
01
—
51067817
BCBS OF ALABAMA
AL
Enumeration date
04/26/2006
Last updated
04/12/2026
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