Provider Demographics
NPI:1518933191
Name:BRINT, STEPHEN FOSTER (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FOSTER
Last Name:BRINT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:625 SAINT CHARLES AVE
Mailing Address - Street 2:SUITE 10 B
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3400
Mailing Address - Country:US
Mailing Address - Phone:504-838-0327
Mailing Address - Fax:504-888-2929
Practice Address - Street 1:4704 VETERANS MEMORIAL BLVD
Practice Address - Street 2:STE 103
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-5332
Practice Address - Country:US
Practice Address - Phone:504-888-2020
Practice Address - Fax:504-888-2929
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA012469207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1146871Medicaid
LA5J045Medicare ID - Type Unspecified
B62473Medicare UPIN