Provider Demographics
NPI:1508334905
Name:HARRIS, BRIGITTE T (RT(ARRT) (S))
Entity Type:Individual
Prefix:PROF
First Name:BRIGITTE
Middle Name:T
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RT(ARRT) (S)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8202 OLD FEDERAL RD STE A
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-8030
Mailing Address - Country:US
Mailing Address - Phone:334-649-1445
Mailing Address - Fax:334-649-1424
Practice Address - Street 1:8202 OLD FEDERAL RD STE A
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8030
Practice Address - Country:US
Practice Address - Phone:334-649-1445
Practice Address - Fax:334-649-1424
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4340912085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound