Provider Demographics
NPI:1689882136
Name:STEWART, CHERE MICHELLE LEBERTE (MD)
Entity Type:Individual
Prefix:
First Name:CHERE MICHELLE
Middle Name:LEBERTE
Last Name:STEWART
Suffix:
Gender:F
Credentials:MD
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 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-8701
Mailing Address - Fax:
Practice Address - Street 1:619 19TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-1900
Practice Address - Country:US
Practice Address - Phone:205-934-5038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27149207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00799675OtherRAILROAD MEDICARE
AL051548820OtherBCBS
AL101994Medicaid
AL102017Medicaid
AL051548821OtherBCBS
AL051548817OtherBCBS
AL102018Medicaid
AL051109568OtherBCBS
AL101999Medicaid
AL123063Medicaid
AL051548818OtherBCBS
ALZ09073OtherVIVA
ALZ09073OtherVIVA