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Individual

JAMES A BONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
21514
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000077775
BLUE CROSS
AL
05
000077775
AL
05
009912835
AL
05
009980010
AL
01
051067234
BCBS
AL
01
051100788
BCBS
AL
01
051505591
BLUE CROSS
AL
01
051513840
BLUE CROSS
AL
05
113902
AL
05
114794
AL
01
36381
HEALTHSPRING
AL
01
920003940
RAILROAD MEDICARE
AL
01
E81673
VIVA
AL
Enumeration date
06/08/2006
Last updated
01/26/2024
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