Provider Demographics
NPI:1912953019
Name:TRIMM, RILEY FRANKLIN III (MD)
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:FRANKLIN
Last Name:TRIMM
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 40480
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0480
Mailing Address - Country:US
Mailing Address - Phone:251-415-8577
Mailing Address - Fax:251-415-8578
Practice Address - Street 1:1601 CENTER ST
Practice Address - Street 2:STE 1S
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1512
Practice Address - Country:US
Practice Address - Phone:251-410-5437
Practice Address - Fax:251-434-3852
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL156792080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255882300Medicaid
AL009930160Medicaid
LA1115061Medicaid
MS00012509Medicaid
AL51083377OtherBCBS
AL12-00301OtherUNITED HEALTHCARE
AL51083377OtherBCBS
LA1115061Medicaid