Individual
DR. MICHAEL L MCBREARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8367 MORPHY AVE, STE B, FAIRHOPE, AL 36532-3653
(251) 410-6334
(251) 410-6466
Mailing address
8367 MORPHY AVE, STE B, FAIRHOPE, AL 36532-3653
(251) 410-6334
(251) 410-6466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6713
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051004068
BLUE CROSS PROVIDER NO
AL
Enumeration date
11/10/2005
Last updated
05/24/2017
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