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RICHARD G. DIETHELM MD PC NPI 1205053824


NPI Information

NPI: 1205053824
Provider Name: RICHARD G. DIETHELM, MD, PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
52 MEDICAL PARK EAST DRIVE
SUITE 317
BIRMINGHAM, AL
ZIP 35235
Phone: (205) 836-9366
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RICHARD G. DIETHELM, MD, PC is a neurology psychiatry neurology in Birmingham, AL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. RICHARD G. DIETHELM, MD, PC NPI is 1205053824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

52 MEDICAL PARK EAST DRIVE
SUITE 317
BIRMINGHAM, AL
ZIP 35235
Phone: (205) 836-9366

The provider's authorized official is Richard G Diethelm .
The authorized official title is President and has the following contact phone number (205) 836-9366.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 12/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology26360ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERALABAMAEIN
2529932807MEDICAIDALABAMA
3DG1281OTHERALABAMARAILROAD MEDICARE
4L207MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.