Provider Demographics
NPI:1730108192
Name:STEELE, TERRI S (MD)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:S
Last Name:STEELE
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 1:3000 SOUTHLAKE PARK
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3608
Mailing Address - Country:US
Mailing Address - Phone:205-987-0724
Mailing Address - Fax:205-987-0725
Practice Address - Street 1:3000 SOUTHLAKE PARK
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-3608
Practice Address - Country:US
Practice Address - Phone:205-987-0724
Practice Address - Fax:205-987-0725
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL135042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000018551OtherBLUE CROSS
ALC75905OtherVIVA
AL260013575OtherRAILROAD MEDICARE
AL051525781OtherBLUE CROSS
AL000018551Medicaid
AL051501222OtherBC FEDERAL EHBP
AL330534101OtherMEDICAID REHAB
AL009975965Medicaid
AL051516642OtherBLUE CROSS
AL009975965Medicaid