Provider Demographics
NPI:1609840719
Name:HEFTER, STEVEN BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRUCE
Last Name:HEFTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:BRUCE
Other - Last Name:HEFTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3064 LORNA RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4528
Mailing Address - Country:US
Mailing Address - Phone:205-822-6321
Mailing Address - Fax:888-414-3172
Practice Address - Street 1:3064 LORNA RD
Practice Address - Street 2:SUITE E
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-4528
Practice Address - Country:US
Practice Address - Phone:205-822-6321
Practice Address - Fax:888-414-3172
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25137207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00177919OtherRAILROAD MEDICARE
AL051524182OtherBCBS
AL51524183OtherBCBS OTHER NUMBER
AL051524182Medicaid
AL051524182Medicaid
AL051524182OtherBCBS