DR. STEPHEN RONALD DOUGLAS BO BRACKETT (NPI# 1184829046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184829046 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN RONALD DOUGLAS BO BRACKETT |
| Credential | M.D. |
| Practice Address |
2124 4th Ave S Birmingham AL 35233-2204 |
| Practice Telephone | 2057319090 |
| Mailing Telephone | 2057319090 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2016-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
31321 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
2124 4TH AVE S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255422275 | Chauncey Benedict Thuss Jr. | Specialist | 2124 4th Ave S, Birmingham, AL 35233-2204 | 2006-09-27 |
| 1356818090 | Medplex, Inc. | Psychiatry & Neurology | 2124 4th Ave S, Birmingham, AL 35233-2204 | 2018-10-31 |
| 1386995405 | Medplexmd Injury | General Practice | 2124 4th Ave S, Birmingham, AL 35233-2204 | 2012-09-28 |
| 1790059913 | Regional Pain Md LLC | Anesthesiology | 2124 4th Ave S, Birmingham, AL 35233-2204 | 2012-03-06 |
| 1972882686 | Absolute Drug Detection Services, Inc | Clinical Medical Laboratory | 2124 4th Ave S, Birmingham, AL 35233-2204 | 2011-08-11 |
| 1851687719 | Healthworx, Inc | Physical Therapist | 2124 4th Ave S, Birmingham, AL 35233-2204 | 2011-06-20 |
| 1093925349 | Healthlink LLC | Clinic/Center | 2124 4th Ave S, Birmingham, AL 35233-2204 | 2007-05-23 |
| 1962533414 | Thuss Medical Center | Specialist | 2124 4th Ave S, Birmingham, AL 35233-2204 | 2007-03-08 |
| 1891878625 | Gregory Weiland | Physical Therapist | 2124 4th Ave S, Birmingham, AL 35233-2204 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
| 1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
| 1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
| 1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
| 1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| Find all providers in zip 35233 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932459567 | Gerald A. Shiener, M.d.,p.c. | Psychiatry & Neurology | 251 E Merrill St, Suite 230, Birmingham, MI 48009-6121 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287325 | Terry Elliot Passman | Psychiatry & Neurology | 761 B Middle St., Fairhope, AL 36532 | 2005-06-28 |
| City | BIRMINGHAM |
| Zip Code | 35233 |
Please comment or provide details below to improve the information on DR. STEPHEN RONALD DOUGLAS BO BRACKETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.