Provider Demographics
NPI:1932220308
Name:BURFORD, HOLLY NORTHAM (MD)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:NORTHAM
Last Name:BURFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 AIRPARK CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-5200
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3512 OLD MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-5706
Practice Address - Country:US
Practice Address - Phone:205-879-2260
Practice Address - Fax:205-879-2261
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26350207ZD0900X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0000000OtherRAILROAD
AL009942626Medicaid
MI03852877Medicaid
AL009942623Medicaid
AL51049130OtherBLUE CROSS BLUE SHIELD OF ALABAMA
AL051540595OtherBCBS
AL051540596OtherBCBS
AL113245Medicaid
AL009942624Medicaid
AL051540594Medicare PIN
AL051540596OtherBCBS