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MATTHEW JOSEPH REARDON M.D. MPH NPI 1760482475


NPI Information

NPI: 1760482475
Provider Name: MATTHEW JOSEPH REARDON, M.D., MPH
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6 OFFICE PARK CIR
SUITE 100
BIRMINGHAM, AL
ZIP 35223
Phone: (205) 795-3125
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Matthew Joseph Reardon, M.D., MPH is a general practice in Birmingham, AL. Matthew Joseph Reardon, M.D., MPH NPI is 1760482475. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6 OFFICE PARK CIR
SUITE 100
BIRMINGHAM, AL
ZIP 35223-512
Phone: (205) 795-3125
Fax: (205) 795-3001

The NPI 1760482475 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 5/23/2016.


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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine22741ALABAMANo
2208D00000XGeneral Practice13742NEVADAYes

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
151510445OTHERALABAMABLUECROSS BLUESHIELD

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.