Provider Demographics
NPI:1265475909
Name:BRITT, STEPHEN LYLE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LYLE
Last Name:BRITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7938 AL HIGHWAY 69 STE 120
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-7135
Mailing Address - Country:US
Mailing Address - Phone:256-505-6826
Mailing Address - Fax:
Practice Address - Street 1:7938 AL HIGHWAY 69 STE 120
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-7135
Practice Address - Country:US
Practice Address - Phone:256-505-6826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00025291208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051523814Medicare ID - Type UnspecifiedMEDICARE ID #
ALH87227Medicare UPIN