Provider Demographics
NPI:1982816724
Name:SCOTT, AUBREY DENNIS (MD)
Entity Type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:DENNIS
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2016 STONEGATE TRL
Mailing Address - Street 2:SUITE 112
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2260
Mailing Address - Country:US
Mailing Address - Phone:205-545-9530
Mailing Address - Fax:205-545-9529
Practice Address - Street 1:3143 PELHAM PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-2028
Practice Address - Country:US
Practice Address - Phone:205-545-9530
Practice Address - Fax:205-545-9529
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL15974207Q00000X
HI12806207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCK8418OtherRR MEDICARE
ALC144OtherBCBS
AL604336100OtherDEPT OF LABOR
ALJ270Medicare PIN
AL510I930255Medicare PIN