Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Warner Blackstone Sr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073720702

Michael Warner Blackstone Sr., MD is a Student in an Organized Health Care Education/Training Program in Birmingham, Alabama. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

619 19th St S
Birmingham, AL 35249-1900
Phone: (205) 934-5038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1073720702
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESMay 10, 2011
Mailing address2621 Kemp Ct, Birmingham, AL 35226-1982

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