Virgil Thomas Baccus, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Cullman, AL
NPI 1780604223 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780604223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 5397 (AL)
- Practice address
- 1890 Al Hwy 157
Suite 220
Cullman, AL 35058 - Phone
- (256) 739-2626
- Fax
- (256) 739-6588
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5397 | AL | Yes |
Addresses
Primary practice location
1890 Al Hwy 157
Suite 220
Cullman, AL 35058
Mailing address
1890 Al Hwy 157
Suite 220
Cullman, AL 35058
Phone (256) 739-2626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4044923 | Other | AL | AETNA |
Other providers in Cullman, AL
- Anne R Armstrong
- Ashley Drug Company of Cullman Inc
- Jeffery Rayford Ashley
- Associated Medical Specialties, Inc
- Ansley Corine Ayers
- Melissa Suzanne Bagwell-Seifert
- Dan Bailey
- Julie Bailey
- Samantha Suzanne Bailey
- Shelby Bailey
All providers in Cullman, AL · Obstetrics & Gynecology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.