Provider Demographics
NPI:1609869536
Name:HARWOOD, BRENT M (DPM)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:M
Last Name:HARWOOD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:23937 US HIGHWAY 98
Mailing Address - Street 2:STE 1
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-3359
Mailing Address - Country:US
Mailing Address - Phone:251-928-6768
Mailing Address - Fax:251-928-0783
Practice Address - Street 1:23937 HWY 98
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:AL
Practice Address - Zip Code:36559
Practice Address - Country:US
Practice Address - Phone:251-928-6768
Practice Address - Fax:251-928-0783
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2013-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL155213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051052087OtherBCBS ALABAMA
AL051093258OtherBCBS ALABAMA
AL051093260OtherBCBS AL
AL059203311OtherBCBS AL
AL059178052OtherBCBS ALABAMA
AL051047231OtherBCBS AL
FL65445OtherBCBS FLORIDA
AL051047422OtherBCBS AL
AL051093257OtherBCBS ALABAMA
AL051093263OtherBCBS ALABAMA
AL051548844OtherBCBS AL
FLP00350970OtherRAILROAD MEDICARE
AL051093263OtherBCBS ALABAMA
AL051093257OtherBCBS ALABAMA