Provider Demographics
NPI:1407962194
Name:ALABAMA NEUROLOGICAL CLINIC PC
Entity Type:Organization
Organization Name:ALABAMA NEUROLOGICAL CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST PRESIDENT OF COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-281-7280
Mailing Address - Street 1:PO BOX 11368
Mailing Address - Street 2:2010 NORMANDIE DRIVE
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-0368
Mailing Address - Country:US
Mailing Address - Phone:334-281-7280
Mailing Address - Fax:334-281-0042
Practice Address - Street 1:2010 NORMANDIE DRIVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-0368
Practice Address - Country:US
Practice Address - Phone:334-281-7280
Practice Address - Fax:334-281-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty