Basic Information
Provider Information
NPI: 1518182674
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIXBY
FirstName: ERIC
MiddleName: MICHAEL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1010 AIRPARK CENTER DR
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372175200
CountryCode: US
TelephoneNumber: 6152214400
FaxNumber:  
Practice Location
Address1: 2010 BROOKWOOD MEDICAL CTR DR
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352096804
CountryCode: US
TelephoneNumber: 2058771000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/16/2007
LastUpdateDate: 03/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/09/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102XDR.0064247CON Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
207ZP0102XMD.30117ALY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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