Timothy Todd Fleenor
Pediatrician Emergency Physician
619 19th St S
Birmingham
, Alabama 35249-1900
Timothy Todd Fleenor
Pediatrician Emergency Physician
619 19th St S
Birmingham
, Alabama 35249-1900
(205) 934-5004
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About
Features
Specialties
- Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Timothy Todd Fleenor
- 619 19th St S
- Birmingham, AL
- Zip : 35249-1900
- Phone : (205) 934-5004
Second Address
- Timothy Todd Fleenor
- 619 19th St S
- Birmingham, AL
- Zip : 35249-1900
- Phone : (205) 934-5004
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | MD.34510 | AL |
| N | 208000000X | Pediatrician | MD.34510 | AL |
National Provider Identifier
| NPI | 1013275486 |
|---|---|
| Provider Name | Timothy Todd Fleenor |
| First Address | Birmingham, AL 35249-1900 |
| Second Address | Birmingham, AL 35249-1900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2012 |
| Last Update Date | 28/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 173688 | (05) | AL |
| 173986 | (05) | AL |
| 511-63239 | BCBS (01) | AL |
| 511-63240 | BCBS (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.