Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 272 | AL |
N | 213E00000X | Podiatrist | 272 | AL |
N | 222Z00000X | Podiatrist | 272 | AL |
N | 213EP0504X | Public Medicine | 272 | AL |
N | 213EP1101X | Primary Podiatric Medicine | 272 | AL |
N | 111NR0200X | Radiology | 272 | AL |
N | 213ER0200X | Radiology | 272 | AL |
N | 2081S0010X | Sports Medicine | 272 | AL |
N | 213ES0000X | Sports Medicine | 272 | AL |
N | 213ES0103X | Foot & Ankle Surgery | 272 | AL |
Y | 213ES0131X | Foot Surgery | 272 | AL |
NPI | 1669438602 |
---|---|
Provider Name | Barry J Gould |
First Address | Tuscaloosa, AL 35406-2190 |
Second Address | Tuscaloosa, AL 35406-2190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 23/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051004054 | BCBS OF AL (01) | AL |
051537563 | BCBS OF AL (01) | AL |
051537935 | BCBS OF AL (01) | AL |
118680 | (05) | AL |
51527950 | BCBS OF AL (01) | |
51528212 | BCBSAL PROVIDER # (01) | AL |
U66251 | (02) |