Provider Demographics
NPI:1013940998
Name:SIMPSON, STEPHEN T JR (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:T
Last Name:SIMPSON
Suffix:JR
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 1:1700 SPRINGHILL AVENUE SUITE 100
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604
Mailing Address - Country:US
Mailing Address - Phone:251-633-4949
Mailing Address - Fax:251-633-4363
Practice Address - Street 1:1261 HILLCREST ROAD SUITE C
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695
Practice Address - Country:US
Practice Address - Phone:251-633-4949
Practice Address - Fax:251-633-4363
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.24563207P00000X, 207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-97159OtherBCBS
AL009935609Medicaid
AL009936118Medicaid
AL1013940998OtherTRICARE SOUTH
AL515-33389OtherBCBS
AL009938391Medicaid
AL515-32292OtherBCBS
AL515-33390OtherBCBS
AL515-970106OtherBCBS
AL515-98873OtherBCBS
AL009935317Medicaid
AL009936119Medicaid
AL009936121Medicaid
ALP00299909Medicare PIN
AL515-970106OtherBCBS
AL515-33390OtherBCBS
AL009936121Medicaid
AL051557314Medicare PIN