Provider Demographics
NPI:1124126552
Name:DR. JAMES NABERS DO PC
Entity type:Organization
Organization Name:DR. JAMES NABERS DO PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:NABERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:256-356-9537
Mailing Address - Street 1:219 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:RED BAY
Mailing Address - State:AL
Mailing Address - Zip Code:35582-3858
Mailing Address - Country:US
Mailing Address - Phone:256-356-9537
Mailing Address - Fax:256-356-2315
Practice Address - Street 1:219 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:RED BAY
Practice Address - State:AL
Practice Address - Zip Code:35582
Practice Address - Country:US
Practice Address - Phone:256-356-9537
Practice Address - Fax:256-356-2315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO252261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0122284Medicaid
AL51527555OtherRURAL HEALTH BCBS
AL541003938Medicaid
AL51020601OtherBLUE CROSS BLUE SHIELD
AL000020601Medicaid
AL51527555OtherRURAL HEALTH BCBS
TN013938Medicare ID - Type UnspecifiedRURAL HEALTH
AL51020601OtherBLUE CROSS BLUE SHIELD