Stephen R Brandt Md Group

LBN: Stephen R Brandt Md Group
Stephen R Brandt Md Group is an health care organization with primary practice located at 105 E Watts St , Enterprise AL 36330-2511. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Stephen R Brandt Md Group can be contacted via phone (334) 393-5437, or through Brandt, Stephen Raymond via phone (334) 774-1412.

Contact Information

Primary practice address
105 E Watts St Enterprise AL 36330-2511
Phone: (334) 393-5437
Fax: (334) 393-4185
Website:
Map and Directions
Authorized official contact:
Name: Brandt, Stephen Raymond Doctor of Medicine (MD)
Phone: (334) 774-1412

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 16264 Alabama

Profile Details

NPI number 1437206885
LBN Legal business name Stephen R Brandt Md Group
DBA Doing business as
Authorized official Brandt, Stephen Raymond Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Jun 14th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437206885 NPPES
Alabama MEDICAID 167510

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