Provider Demographics
NPI:1629016498
Name:STERN, STEPHEN L (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:L
Last Name:STERN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 829
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:AL
Mailing Address - Zip Code:35051-0829
Mailing Address - Country:US
Mailing Address - Phone:205-669-0999
Mailing Address - Fax:205-669-3348
Practice Address - Street 1:811 10TH AVE N
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-5320
Practice Address - Country:US
Practice Address - Phone:205-424-9199
Practice Address - Fax:205-424-9189
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL226213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51505424OtherBCBS BESSEMER
AL51505427OtherBCBS COL/ACIPCO
AL51505427OtherBCBS COL/ACIPCO