Individual
STEPHEN K BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1806 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 975-7388
Mailing address
PO BOX 11407 DRAWER 624, BIRMINGHAM, AL 35242-0624
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.9680
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009980205
—
AL
05
—
106074
—
AL
01
—
1336185545
TRICARE SOUTH
AL
01
—
515-94330
BCBS
AL
01
—
515-96703
BCBS
AL
Enumeration date
06/22/2006
Last updated
09/30/2011
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