Provider Demographics
NPI:1912974734
Name:DUGAS, JEFFREY RAYMOND (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:RAYMOND
Last Name:DUGAS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 SAINT VINCENTS DR
Mailing Address - Street 2:STE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1636
Mailing Address - Country:US
Mailing Address - Phone:205-939-3699
Mailing Address - Fax:205-484-2585
Practice Address - Street 1:805 SAINT VINCENTS DR
Practice Address - Street 2:STE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1636
Practice Address - Country:US
Practice Address - Phone:205-939-3699
Practice Address - Fax:205-484-2585
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD22403207XX0005X
AL22403207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009912779Medicaid
AL51006176OtherBCBS
AL51521103OtherBCBS
AL51006176OtherBCBS
ALL238Medicare PIN
H01466Medicare UPIN
AL009912779Medicaid