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Contact Information

EDWARD A SULLIVAN III, MD
619 19TH ST S
BIRMINGHAM, AL35249
 Phone: 205-934-4011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for EDWARD A SULLIVAN III · (Male)

NPI Number 1275596926
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2006
Last updated 06/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 21618
  • AL Medicaid 051550443
  • AL Other 51518308 BLUE CROSS/BLUE SHIELD
  • AL Other 51550443 BLUE CROSS/BLUE SHIELD
Hospital affiliation(s)
  • BROOKWOOD MEDICAL CENTER - (Acute Care)
    2010 BROOKWOOD MEDICAL CENTER DRIVE
    BIRMINGHAM, AL 35209
  • RIVERVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    600 SOUTH THIRD STREET
    GADSDEN, AL 35901
  • RUSSELL HOSPITAL - (Acute Care)
    3316 HIGHWAY 280
    ALEXANDER CITY, AL 35010
  • SOUTHERN REGIONAL MEDICAL CENTER - (Acute Care)
    11 UPPER RIVERDALE ROAD, SW
    RIVERDALE, GA 30274
  • ST VINCENT'S BIRMINGHAM - (Acute Care)
    810 ST VINCENT'S DRIVE
    BIRMINGHAM, AL 35205
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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