Tucker, Allen Gordon

Tucker, Allen Gordon is an individual health care provider with primary practice located at 2010 Brookwood Medical Ctr Dr , Birmingham AL 35209-6804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Tucker, Allen Gordon can be contacted via phone (205) 989-1080.

Contact Information

Primary practice address
2010 Brookwood Medical Ctr Dr Birmingham AL 35209-6804
Phone: (205) 989-1080
Fax: (205) 989-1087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD.11638 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD.11638 Alabama

Profile Details

NPI number 1609864149
LBN Legal business name Tucker, Allen Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Sep 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609864149 NPPES
Alabama Other 51594636 BCBSAL
Alabama MEDICAID 1609864149 BCBSAL

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