Provider Demographics
NPI:1114118122
Name:PATTERSON, JOAN BREDER (MD)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:BREDER
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:
Other - Last Name:BREDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:HH EMERGENCY PHYSICIANS GROUP
Mailing Address - Street 2:101 SIVLEY RD SW
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801
Mailing Address - Country:US
Mailing Address - Phone:256-265-9889
Mailing Address - Fax:865-271-6601
Practice Address - Street 1:HH EMERGENCY PHYSICIANS GROUP
Practice Address - Street 2:101 SIVLEY RD SW
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-265-9889
Practice Address - Fax:865-271-6601
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL32034207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3734041Medicaid
TN3734041Medicare PIN