Individual
DR. JAMES RANDY BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 MOBILE INFIRMARY CIR, STE 201, MOBILE, AL 36607-3514
(251) 435-7900
(251) 435-6261
Mailing address
3 MOBILE INFIRMARY CIR, STE 201, MOBILE, AL 36607-3514
(251) 435-7900
(251) 435-6261
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9721
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
9721
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05525700001
CIGNA
AL
01
—
51009597
MEDICARE
AL
05
—
528902340
—
AL
Enumeration date
06/29/2006
Last updated
08/10/2010
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