Provider Demographics
NPI:1285667162
Name:STONE, HERBERT A JR (MD)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:A
Last Name:STONE
Suffix:JR
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 1:33480 ALDER CIR
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-9095
Mailing Address - Country:US
Mailing Address - Phone:251-454-6950
Mailing Address - Fax:251-433-9890
Practice Address - Street 1:33480 ALDER CIR
Practice Address - Street 2:
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-9095
Practice Address - Country:US
Practice Address - Phone:251-454-6950
Practice Address - Fax:251-433-9890
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.7883208M00000X, 207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009911552Medicaid
AL510-08236OtherBCBS
AL009936108Medicaid
AL009936109Medicaid
AL515-97205OtherBCBS
AL000008236Medicaid
AL510-04056OtherBCBS
AL009936111Medicaid
AL510-01010OtherBCBS
AL515-33137OtherBCBS
AL009991615Medicaid
AL1285667162OtherTRICARE SOUTH
AL515-33139OtherBCBS
AL009937941Medicaid
AL009991615Medicaid
AL009936111Medicaid
AL009936109Medicaid
AL009911552Medicaid
AL000008236Medicaid
AL051555859Medicare PIN