Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | J8949 | TX |
N | 207V00000X | Obstetrician & Gynecologist | 36734 | AL |
N | 207V00000X | Obstetrician & Gynecologist | J8949 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 36734 | AL |
NPI | 1851358329 |
---|---|
Provider Name | Brian M Casey |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35294-7208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 11/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
139103912 | (05) | TX |
139103913 | (05) | TX |
G14443 | (02) |