Individual
STEPHEN DALE BRAWNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1022 1ST ST N, STE103, ALABASTER, AL 35007-8706
(205) 621-3930
(205) 621-0998
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00010422
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933391
—
AL
05
—
113662
—
AL
05
—
113666
—
AL
01
—
51531214
BCBS AL
AL
01
—
51532470
BCBS AL
AL
01
—
51532471
BCBS AL
AL
01
—
51532472
BCBS AL
AL
01
—
51532473
BCBS AL
AL
Enumeration date
05/11/2006
Last updated
12/30/2015
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