Individual
OMER L BURNETT
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) 934-5038
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
26939
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02858317
—
MS
01
—
051598253
BCBS
AL
01
—
051598254
BCBS
AL
01
—
051598255
BCBS
AL
01
—
051598256
BCBS
AL
01
—
051598257
BCBS
AL
01
—
051598258
BCBS
AL
05
—
110247
—
AL
05
—
110252
—
AL
05
—
110254
—
AL
05
—
110256
—
AL
05
—
110257
—
AL
05
—
110258
—
AL
01
—
P00821378
RAILROAD MEDICARE
AL
Enumeration date
05/22/2007
Last updated
09/22/2011
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