Male or Other

Richard S. Martin MD

Pediatric Radiology Physician in Birmingham, AL(View on Map)

Full Name

Richard Stevens Martin MD

NPI Number

1780634048

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/10/2006

Specialties

(Taxonomies)

Code

2085P0229X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

00026827

Contact
Information

Purpose

Mailing
Location

Address

2000A SOUTHBRIDGE PKWY
1600 7TH AVE S

City

Birmingham
Birmingham

State

AL
AL

Postal Code

35209-7718
35233-1711

Country

US
US

Telephone Number

(205) 871-4274
(205) 939-9336

Identifiers

Identifier

105627
515-30567
051531133
515-30615
009934348
009934349
515-31169
630842160
009954352
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Identifier State

AL
AL
AL
AL
AL
AL
AL
AL
AL
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Identifier Issuer

Unknown
BCBS AL
BCBS AL (UAB)
BCBS AL
Unknown
Unknown
BCBS AL
AETNA
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/30/2015

Provider Address

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