Provider Demographics
NPI:1891880530
Name:STEPHEN, RICHARD SIDNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SIDNEY
Last Name:STEPHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 9TH AVE SW STE 500
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-7814
Mailing Address - Country:US
Mailing Address - Phone:205-481-7750
Mailing Address - Fax:205-481-7755
Practice Address - Street 1:985 9TH AVE SW
Practice Address - Street 2:SUITE 500
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022
Practice Address - Country:US
Practice Address - Phone:205-481-7750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13002207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC70427OtherVIVA HEALTH
AL051539250OtherBLUE CROSS
AL1947OtherSENIORS FIRST
AL051558123Medicaid
AL051539250OtherBLUE CROSS
AL051558123Medicare ID - Type Unspecified