Organization
STEPHEN R BRANDT MD GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN RAYMOND BRANDT MD (OWNER)
(334) 774-1412
Entity
Organization
Contact information
Practice address
105 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 393-5437
(334) 393-4185
Mailing address
633 S UNION AVE, OZARK, AL 36360-1836
(334) 774-1412
(334) 774-1825
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
16264
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167510
—
AL
Enumeration date
01/05/2007
Last updated
06/14/2022
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