Individual
BRAD LAMONT STEENWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23506
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009952235
—
AL
05
—
009952245
—
AL
05
—
009952255
—
AL
05
—
009961035
—
AL
01
—
051522441
BLUE CROSS
AL
01
—
051522442
BLUE CROSS
AL
01
—
051522443
BLUE CROSS
AL
01
—
051522889
BLUE CROSS
AL
01
—
09875390
MISSISSIPPI MEDICAID
MS
05
—
1307467
—
LA
01
—
P00184071
RAILROAD MEDICARE
AL
Enumeration date
07/18/2006
Last updated
07/12/2011
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