Fernando J. Alegria, M.D.

Individual provider Active NPI Surgery Physician · Demopolis, AL

NPI 1497837405 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497837405
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
00025440 (AL)
Practice address
105 Hwy 80 East
Suit 225
Demopolis, AL 36732
Phone
(334) 289-3755
Fax
(334) 289-3766
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00025440ALMDSurgery Physician
34132MNMDSurgery Physician
35042412AOHMDSurgery Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00025440 AL Yes
Surgery Physician 208600000X 35042412A OH
Surgery Physician 208600000X 34132 MN

Addresses

Primary practice location

105 Hwy 80 East
Suit 225
Demopolis, AL 36732

Mailing address

PO Box 500
Demopolis, AL 36732-0500
Phone (334) 289-3755

Other identifiers

IdentifierTypeStateIssuer
51518299OtherALBCBS

Other providers in Demopolis, AL

All providers in Demopolis, AL · Surgery Physician in Alabama

Sources for this page

Verify at the official NPI Registry.