Basic Information
| Provider Information | |||||||||
| NPI: | 1326093881 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARLOW | ||||||||
| FirstName: | POLLY | ||||||||
| MiddleName: | ANNA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000A SOUTHBRIDGE PKWY | ||||||||
| Address2: | STE 300 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352097718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2057319701 | ||||||||
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| Practice Location | |||||||||
| Address1: | 619 19TH STREET SOUTH | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059344011 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2006 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 26673 | AL | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 051530788 | 01 | AL | BLUE CROSS | OTHER | 051530789 | 01 | AL | BLUE CROSS | OTHER | 009932957 | 05 | AL | MEDICAID | 051530790 | 01 | AL | BLUE CROSS | OTHER | 02174574 | 01 | MS | MISSISSIPPI MEDICAID | OTHER | 051530787 | 01 | AL | BLUE CROSS | OTHER | 157427 | 05 | AL | MEDICAID | 009932956 | 05 | AL | MEDICAID | 009932959 | 05 | AL | MEDICAID | 511-43251 | 01 | AL | BLUE CROSS | OTHER | 009932958 | 05 | AL | MEDICAID |