Provider Demographics
NPI:1124052329
Name:M SCOTT TOUGER MD PC
Entity type:Organization
Organization Name:M SCOTT TOUGER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:TOUGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-397-1275
Mailing Address - Street 1:2204 LAKESHORE DRIVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209
Mailing Address - Country:US
Mailing Address - Phone:205-874-8300
Mailing Address - Fax:205-874-8333
Practice Address - Street 1:1020 26TH ST S
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2412
Practice Address - Country:US
Practice Address - Phone:205-397-1275
Practice Address - Fax:205-397-1279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51518702OtherBCBS
AL051518702Medicare ID - Type Unspecified