Provider Demographics
NPI:1306907696
Name:LANGAN, JAMES G (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:LANGAN
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 1:801 PRINCETON AVE SW
Mailing Address - Street 2:POB I SUITE 406
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1310
Mailing Address - Country:US
Mailing Address - Phone:205-788-6688
Mailing Address - Fax:205-788-0305
Practice Address - Street 1:801 PRINCETON AVE SW
Practice Address - Street 2:POB I SUITE 406
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1310
Practice Address - Country:US
Practice Address - Phone:205-788-6688
Practice Address - Fax:205-788-0305
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9232207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC73609OtherUNITED HEALTHCARE
AL51096107OtherBCBS PRINCETON
ALC73609OtherHEALTHSPRING
ALC73609OtherVIVA
AL51522076OtherBCBS UABMW
AL51096107OtherBCBS PRINCETON