Individual
DR. STEPHEN RAYMOND BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 393-5437
(334) 393-4185
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16264
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167510
—
AL
Enumeration date
09/04/2006
Last updated
05/15/2017
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