NPI 1417247347 · live from the CMS NPI Registry
Tyler Gaston
Psychiatry & Neurology, Neurology in Birmingham, AL. National Provider Identifier 1417247347, active.
NPI record
| NPI | 1417247347 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1717 6th Ave S, Birmingham, AL 35233 |
| Practice phone | 800-822-8816 |
| Enumerated | April 12, 2011 |
| Last updated | June 29, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 32239 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.