Provider Demographics
NPI:1558333401
Name:BRITTMAN, STANLEY L (MD)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:L
Last Name:BRITTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-397-6344
Mailing Address - Fax:757-606-1185
Practice Address - Street 1:3640 HIGH ST STE 3B
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3213
Practice Address - Country:US
Practice Address - Phone:757-397-6344
Practice Address - Fax:757-606-1185
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101028006207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA-002 -003OtherTRICARE/CHAMPUS
VA21006OtherSENTARA OHP/SHP
VAPAROtherAETNA
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherUSA MANAGED CARE
VA005625467Medicaid
NC05217OtherBC/BS
VA434841OtherANTHEM BC/BS
VAPAROtherMULTIPLAN
VAPAROtherVIRGINIA PREMIER HEALTH
NC8905217OtherNC MEDICAID
VAPAROtherCIGNA
VAPAROtherCORVEL/CORCARE
VAPAROtherMID-ATLANTIC VICARE
VAPAROtherVA HEALTH NETWORK
VA2180462OtherUHC/MAMSI
VAPAROtherCORVEL/CORCARE
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherVA HEALTH NETWORK