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BRETT STARK DPM PC NPI 1497816458


NPI Information

NPI: 1497816458
Provider Name: BRETT STARK DPM PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
785 N DEAN RD
SUITE 100
AUBURN, AL
ZIP 36830
Phone: (334) 466-1401
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BRETT STARK DPM PC is a podiatrist in Auburn, AL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BRETT STARK DPM PC NPI is 1497816458. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

785 N DEAN RD
SUITE 100
AUBURN, AL
ZIP 36830-033
Phone: (334) 466-1401
Fax: (334) 466-1433

The provider's authorized official is Brett S Stark .
The authorized official title is Owner and has the following contact phone number (334) 466-1401.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 10/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist225ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1480033606OTHERALABAMARAILROAD MEDICARE
24318200001OTHERALABAMAMEDICARE
351503568OTHERALABAMABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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