Provider Demographics
NPI:1902917339
Name:JUDGE, DAVID ALLAN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLAN
Last Name:JUDGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 WILDWOOD PKWY STE 100B
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7300
Mailing Address - Country:US
Mailing Address - Phone:205-943-4600
Mailing Address - Fax:205-943-4688
Practice Address - Street 1:2015 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5551
Practice Address - Country:US
Practice Address - Phone:256-547-2025
Practice Address - Fax:256-547-2019
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00026944207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-31473OtherBC-2015 RAINBOW DRIVE, GADSDEN
ALF60056OtherHEALTHSPRING
AL510-09948OtherBC 1150 EAGLETREE LANE SE
AL515-47844OtherBC 1720 UNIVERSITY BLVD, BIRMINGHAM -HOSPITAL
AL510-39825OtherBC 314 SOUTH 5TH STREET, GADSDEN
ALP00329571OtherRR MEDICARE PGBA
AL510-09943OtherBC 729 BATTLE ST EAST, TALLADEGA
AL515-47842OtherBC 1007 GOODYEAR AVE, GADSDEN -HOSPITAL
AL515-47843OtherBC 1701 PELHAM ROAD SOUTH, JACKSONVILLE
AL009935522Medicaid
AL515-47847OtherBC 301 EAST 18TH ST, ANNISTON -HOSPITAL
AL515-47846OtherBC 460 LANIER RD, MADISON
AL510-10251OtherBC 425 E 10TH STREET, SUITE C, ANNISTON
AL1275644627Medicare PIN
AL051531473Medicare PIN
AL510-09945OtherBC 308 6TH ST S, SUITE 105, ONEONTA
AL051539825OtherBC-NORTHEAST ALABAMA SURGERY CENTER
AL510-10250OtherBC 155 MEDICAL ST, SNEAD
AL515-47845OtherBC-209 NORTH MAIN STREET, WEDOWEE
F60056Medicare UPIN
AL1902917339Medicaid
AL051531473Medicaid
AL515-45363OtherBC 418 SOUTH 5TH STREET, GADSDEN
AL510-09944OtherBC 715 SNOW ST, OXFORD
AL515-32560OtherBC 250 STATE FARM PARKWAY, BIRMINGHAM