Individual
DR. BRIAN SCOTT GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1304
(205) 348-7988
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1304
(205) 348-7988
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32891
AL
208000000X
Pediatrics Physician
40582
KY
208000000X
Pediatrics Physician
MD30442
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3830971
—
TN
05
—
64122582
—
KY
Enumeration date
09/19/2005
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us