BRETT STARK DPM PC (NPI# 1497816458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497816458 |
| Entity Type | Organization |
| Organization Name | BRETT STARK DPM PC |
| Practice Address |
785 N Dean Rd Suite 100 Auburn AL 36830-4033 |
| Mailing Address |
300 N Dean Rd Suite 5 Auburn AL 36830-4404 |
| Practice Telephone | 3344661401 |
| Practice Fax Number | 3344661433 |
| Mailing Telephone | 3344661401 |
| Mailing Fax Number | 3344661433 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | BRETT S STARK (OWNER) |
| Authorized Official Telephone | 3344661401 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 225 | AL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RAILROAD MEDICARE | 480033606 | 01 |
| AL | MEDICARE | 4318200001 | 01 |
| AL | BCBS | 51503568 | 01 |
| Street Address |
785 N DEAN RD SUITE 100 |
| City | AUBURN |
| State | AL |
| Zip Code | 36830-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679015556 | John M Hudon, Dmd, Mhs, PC | Clinic/Center | 785 N Dean Rd, St 600, Auburn, AL 36830-4033 | 2016-11-09 |
| 1467585000 | John M. Hudon | Dentist | 785 N Dean Rd, Suite 600, Auburn, AL 36830-4033 | 2007-03-13 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407860232 | Steven Gershman | Podiatrist | 280 Minot Ave, Auburn, ME 04210-4867 | 2006-07-28 |
| 1861432767 | Thomas Michael Henry | Podiatrist | 206 Auburn Ave, Auburn, WA 98002-5015 | 2006-06-08 |
| 1730146721 | Wayne Dennis Marchand | Podiatrist | 48 Auburn St, Auburn Podiatry LLP, Auburn, MA 01501 | 2006-04-26 |
| 1417925322 | William Joseph Gilbrech | Podiatrist | 3250 Fortune Ct, Auburn, CA 95602-7847 | 2006-03-08 |
| 1992236244 | Maria Bolla | Podiatrist | 492 Washington St, Auburn, MA 01501-5708 | 2017-03-27 |
| 1851582266 | Susan Margaret Ryan | Podiatrist | 3250 Fortune Ct, Auburn, CA 95602-7847 | 2007-08-09 |
| 1841384963 | Christopher E. Sacco, Dpm, Pa | Podiatrist | 280 Minot Ave, Auburn, ME 04210-4867 | 2006-10-03 |
| 1104933209 | Auburn Podiatry LLP | Podiatrist | 48 Auburn St, Auburn, MA 01501-2438 | 2006-08-24 |
| 1073538583 | Terry L Smith | Podiatrist | 3272 Fortune Ct, Auburn, CA 95602-7847 | 2006-07-13 |
| 1376501213 | Patricia Mary Sullivan | Podiatrist | 48 Auburn St, Auburn Podiatry LLP, Auburn, MA 01501 | 2006-05-02 |
| Find all providers in AUBURN | ||||
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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.