BRETT S STARK (NPI# 1841203957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841203957 |
| Entity Type | Individual |
| Full Name | BRETT S STARK |
| Credential | DPM |
| Practice Address |
890 N Dean Rd Ste 400 Auburn AL 36830-9440 |
| Mailing Address |
300 N Dean Rd Suite 5 Pmb 180 Auburn AL 36830-4404 |
| Practice Telephone | 3344661401 |
| Practice Fax Number | 3346410075 |
| Mailing Telephone | 3344661401 |
| Mailing Fax Number | 3344661433 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
225 | AL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 051503568 | 01 |
| BLUE CROSS BLUE SHIELD | 051529739 | 01 | |
| BLUE CROSS BLUE SHIELD | 051530652 | 01 | |
| RR MCR | 480033606 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 785 N Dean Road, Suite 100, Auburn, AL 368304027 | 3344661401 | 3344661433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871861039 | Brett Stark | Pharmacist | 151 E 3rd Ave, San Mateo, CA 94401-4012 | 2011-12-02 |
| 1831693779 | Brett Aaron Stark | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2018-03-23 |
| Street Address |
890 N DEAN RD STE 400 |
| City | AUBURN |
| State | AL |
| Zip Code | 36830-9440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072878 | Jayson Patrick Hairston | Student in an Organized Health Care Education/Training Program | 1188 Opelika Rd Building 700 Unit 1, Auburn, AL 36830 | 2020-01-23 |
| 1477106417 | Dunn Psychological Services, LLC | Clinic/Center | 2204 Ogletree Village Lane, Suite B, Auburn, AL 36830 | 2019-07-18 |
| 1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
| 1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
| 1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
| 1629519558 | Laura Walton Bell | Nurse Practitioner | 1702 Catherine Ct, Auburn, AL 36830 | 2017-03-11 |
| 1952857229 | North Dean Dental, P.C. | Clinic/Center | 867 North Dean Road, Auburn, AL 36830 | 2016-08-28 |
| 1871960302 | Beverly Harrison Doyle | Physical Therapist | 2515 E. Glenn Ave., Ste 104, Auburn, AL 36830 | 2015-09-01 |
| Find all providers in zip 36830 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699560 | Dr. Barry J. Gould, Podiatry Consultants, LLC- | Podiatrist | 641 Kings Mountain Rd, Tuscaloosa, AL 35406-2824 | 2016-10-12 |
| 1003253188 | Southeast Podiatry PC | Podiatrist | 1318 S Main St, Atmore, AL 36502-2834 | 2013-05-29 |
| 1023455102 | Southeast Podiatry PC | Podiatrist | 610 Douglas Ave, Brewton, AL 36426-1812 | 2013-05-29 |
| 1467647446 | Advanced Foot Care PC | Podiatrist | 348 Saint Lukes Dr, Montgomery, AL 36117-7108 | 2007-09-12 |
| 1275686305 | Hadryan H Vaughn | Podiatrist | 4709 Woodmere Blvd, Montgomery, AL 36106-3078 | 2007-01-20 |
| 1497819536 | Douglas D Stewart | Podiatrist | 1649 Highway 22 West, Suite One, Alexander City, AL 35010-4412 | 2006-12-21 |
| 1063576494 | Anz Gould Investments, Inc. | Podiatrist | 2818 Lurleen B Wallace Blvd, Northport, AL 35476-3249 | 2006-12-20 |
| 1962572198 | Debra D. Morgan | Podiatrist | 1714 W 3rd St, Montgomery, AL 36106-1506 | 2006-11-08 |
| 1467536763 | Southeast Podiatry PC | Podiatrist | 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 | 2006-10-24 |
| 1518993310 | Lashonda Moore | Podiatrist | 220 Fort Dale Rd, Greenville, AL 36037-1502 | 2006-06-23 |
| Find all providers with the same taxonomy | ||||
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| 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.