Provider Demographics
NPI:1174557052
Name:PHILLIPS, CHRIS A (MD)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:A
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 CHASE CORPORATE DR
Mailing Address - Street 2:STE 225
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1026
Mailing Address - Country:US
Mailing Address - Phone:205-733-6033
Mailing Address - Fax:205-733-6036
Practice Address - Street 1:1 CHASE CORPORATE DR
Practice Address - Street 2:STE 225
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1026
Practice Address - Country:US
Practice Address - Phone:205-733-6033
Practice Address - Fax:205-733-6036
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25150208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL201481656OtherUNITED HEALTHCARE
AL7004652OtherAETNA
ALP00205807OtherTRAVELERS MEDICARE
AL009972015Medicaid
AL201481656OtherUMWA
AL2468339OtherCIGNA
ALI07584OtherHEALTHSPRING
AL051524075OtherBCBS
AL201481656OtherUNITED HEALTHCARE
ALI07584OtherHEALTHSPRING