Provider Demographics
NPI:1083687867
Name:DENNIS, RODNEY L (MD)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:L
Last Name:DENNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3485 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5603
Mailing Address - Country:US
Mailing Address - Phone:205-930-0920
Mailing Address - Fax:205-445-0115
Practice Address - Street 1:3125 INDEPENDENCE DR STE 210
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-4164
Practice Address - Country:US
Practice Address - Phone:205-930-0920
Practice Address - Fax:205-445-0115
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00013319208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000017229OtherMEDICARE PTAN
AL0366100001OtherCIGNA GOVERNMENT SERVICES PTAN
ALC76440OtherHEALTH SPRINGS
AL0366100001OtherMC NSC
AL009940654Medicaid
AL1910059OtherUNITED HEALTHCARE
AL2653672001OtherCIGNA
ALC76440OtherVIVA
AL4006027OtherAETNA
AL0366100001OtherMC NSC