Provider Demographics
NPI:1487159893
Name:COKER, HENRY BENJAMIN IV (DO)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:BENJAMIN
Last Name:COKER
Suffix:IV
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5890 VALLEY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-8669
Mailing Address - Country:US
Mailing Address - Phone:205-655-7600
Mailing Address - Fax:205-655-7446
Practice Address - Street 1:5890 VALLEY RD STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-8669
Practice Address - Country:US
Practice Address - Phone:205-655-7600
Practice Address - Fax:205-655-7446
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALDO2110207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine