Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 28385 | AL |
NPI | 1013129105 |
---|---|
Provider Name | Brian Flowers |
First Address | Birmingham, AL 35235-3411 |
Second Address | Birmingham, AL 35235-3411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 10/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013129105 | (05) | AL |