Provider Demographics
NPI:1316357650
Name:AGUIRRE, BRITTANY (DO)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:MCCLURE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13149 KINLOCK FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2283
Mailing Address - Country:US
Mailing Address - Phone:601-307-8183
Mailing Address - Fax:
Practice Address - Street 1:10040A COUNTY ROAD 48
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-4520
Practice Address - Country:US
Practice Address - Phone:251-517-8055
Practice Address - Fax:251-517-8066
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.012398207Q00000X
ALDO.1775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL248165Medicaid