Brett Stark (NPI# 1841203957, PAC ID# 0042289076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1841203957 |
| PAC ID by PECOS | 0042289076 |
| Professional Enrollment ID | I20050815000419 |
| Full Name | Brett Stark |
| Address |
1171 Gatewood Dr Auburn AL 36830-1817 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 1998 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010029 | EAST ALABAMA MEDICAL CENTER AND SNF |
| Address | Phone | Organization |
|---|---|---|
| 1171 Gatewood Dr, Auburn, AL 36830-1817 | ||
| 300 N Dean Rd, Pmb 180, Auburn, AL 36830-4404 | ||
| 890 N Dean Rd, Suite 400, Auburn, AL 36830-9438 |
| Street Address |
1171 GATEWOOD DR |
| City | AUBURN |
| State | AL |
| Zip | 36830-1817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley A Jordan | Clinical Social Worker | 118 N Ross, Suite 2, Auburn, AL 36830 | |
| Lisa B Daniel | Optometry | Daniels Optometric Services LLC | 8671 Terra Lane, Auburn, AL 36830 |
| Timothy B Clemmons | Physical Therapy | Human Performance and Rehabilitation Centers Inc | 2140 E University Dr, Suite I J, Auburn, AL 36830-1851 |
| Leslie S Nicholas | Physical Therapy | Human Performance and Rehabilitation Centers Inc | 2140 E University Dr, Suite I J, Auburn, AL 36830-1851 |
| Karen M Lynn | Physical Therapy | Human Performance and Rehabilitation Centers Inc | 2140 E University Dr, Suite I J, Auburn, AL 36830-1851 |
| Patrick Donovan Graham | Physical Therapy | Human Performance and Rehabilitation Centers Inc | 2140 E University Dr, Suite A, Auburn, AL 36830-1852 |
| Charles L Cowan Jr. | Optometry | 1955 Opelika Rd, Auburn, AL 36830-2811 | |
| James R Whatley | Orthopedic Surgery | The Orthopaedic Clinic, P.C. | 1800 Lakeside Cir, Auburn, AL 36830-2842 |
| John Arthur Abrams Ii | Internal Medicine | 1548 Professional Pkwy, Auburn, AL 36830-2857 | |
| Adahli Massey | Rheumatology | 1536 Professional Pkwy, Auburn, AL 36830-2857 | |
| Find all physicians in zip 36830 | |||
| City | AUBURN |
| Zip Code | 36830 |
| Specialty | PODIATRY |
| City + Specialty | AUBURN + PODIATRY |
Please comment or provide details below to improve the information on Brett Stark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.