Brent Donovan Haverstock (NPI# 1780111831, PAC ID# 6709159841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1780111831 |
| PAC ID by PECOS | 6709159841 |
| Professional Enrollment ID | I20180920002292 |
| Full Name | Brent Donovan Haverstock |
| Organization Legal Name | UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC |
| Address |
3316 U S Suite 280 Alexander City AL 35010 |
| Phone Number | 2057319701 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1951213107 |
| Number of Group Practice Members | 1799 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010033 | UNIVERSITY OF ALABAMA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3316 U S, Suite 280, Alexander City, AL 35010 | 2057319701 | UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC |
| 619 19th St S, Birmingham, AL 35233-1999 | 2059346405 | UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC |
| Organization Legal Name | UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC |
| Physicians | 1931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Godfrey | Nurse Practitioner | University of Alabama Health Services Foundation,pc | 125 20th S St, Suite 103, Birmingham, AL 35233 |
| Robert Richter | Pediatric Medicine | University of Alabama Health Services Foundation,pc | 1600 7th Ave S, Birmingham, AL 35233-1711 |
| Jodie Dionne-odom | Infectious Disease | University of Alabama Health Services Foundation,pc | 1700 6th Ave So, Birmingham, AL 35233-1802 |
| Michelle M Mcnamara | Diagnostic Radiology | University of Alabama Health Services Foundation,pc | 960 Mount Olive Rd, Gardendale, AL 35071-4655 |
| Anthony Peter Nicholas | Neurology | University of Alabama Health Services Foundation,pc | 720 20th S St, Birmingham, AL 35233-2032 |
| Melaine S Morris | General Surgery | University of Alabama Health Services Foundation,pc | 619 19th St S, Birmingham, AL 35233-1999 |
| Artemus J Cox Iii | Otolaryngology | University of Alabama Health Services Foundation,pc | 2850 Cahaba Rd, Suite 100, Birmingham, AL 35223-2345 |
| Joanne A Shaughnessy | Nurse Practitioner | University of Alabama Health Services Foundation,pc | 601 W Boulevard, Birmingham, AL 35206-1300 |
| Kerri S Bevis | Obstetrics/gynecology | University of Alabama Health Services Foundation,pc | 619 19th St S, Birmingham, AL 35233-1999 |
| William Randolph Maddox | Cardiovascular Disease (cardiology) | University of Alabama Health Services Foundation,pc | 619 19th St S, Birmingham, AL 35233-1999 |
| Street Address |
3316 U S SUITE 280 |
| City | ALEXANDER CITY |
| State | AL |
| Zip | 35010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Luisa Coxey | Nurse Practitioner | The Russell Hospital Corporation | 125 Allison Dr, Suite 2, Alexander City, AL 35010-0939 |
| William H Moore Jr. | Obstetrics/gynecology | The Russell Hospital Corporation | 125 Allison Dr, Suite 2, Alexander City, AL 35010-0939 |
| Jon D Roberts | Chiropractic | 239 A Church St, Alex City, AL 35010-2515 | |
| Kevin A James | Chiropractic | 229 S Central Ave, Alexander City, AL 35010-2536 | |
| Joe W Jordan | Chiropractic | 440 Church St, Alexander City, AL 35010-2582 | |
| Andrew Steven Kerley | Chiropractic | 748 Commerce Dr, Alexander City, AL 35010-2660 | |
| Wael Hamo | Neurology | 1397 Dadeville Rd, Alex City, AL 35010-2908 | |
| Genie A Boles | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of Birmingham, P.C. | 3316 Hwy 280, Alexander City, AL 35010-3369 |
| Robyn Patterson Mann | Certified Registered Nurse Anesthetist (crna) | Anesthesia Services of Birmingham, P.C. | 3316 Hwy 280, Alexander City, AL 35010-3369 |
| Timothy A Coakley | Emergency Medicine | Nes Tennessee, Inc. | 3316 Hwy 280, Alexander City, AL 35010-3369 |
| Find all physicians in zip 35010 | |||
| City | ALEXANDER CITY |
| Zip Code | 35010 |
| Specialty | PODIATRY |
| City + Specialty | ALEXANDER CITY + PODIATRY |
Please comment or provide details below to improve the information on Brent Donovan Haverstock.
| 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.