NPI 1275895369 · live from the CMS NPI Registry
Ekaterina Bakradze, M.D.
Psychiatry & Neurology, Neurology in Birmingham, AL. National Provider Identifier 1275895369, active.
NPI record
| NPI | 1275895369 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2000 6th Ave S, Birmingham, AL 35233 |
| Practice phone | 205-934-9999 |
| Mailing address | Po Box 55310, Birmingham, AL 35255 |
| Enumerated | June 13, 2012 |
| Last updated | February 1, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 36628 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.