Organization
GERHARDT AND BRACKIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGEL WALTON (BILLING)
(205) 663-2103
Entity
Organization
Contact information
Practice address
1004 1ST ST N, STE 350, ALABASTER, AL 35007
(205) 663-2103
(205) 664-3083
Mailing address
1004 1ST ST N, STE 350, ALABASTER, AL 35007
(205) 663-2103
(205) 664-3083
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18153
AL
207X00000X
Orthopaedic Surgery Physician
6542
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529916450
—
AL
01
—
DA2850
RAILROAD MEDICARE GROUP PROVIDER NUMBER
AL
Enumeration date
09/15/2006
Last updated
07/21/2008
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