Provider Demographics
NPI:1295801579
Name:LOVELADY, STEVE R (MD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:R
Last Name:LOVELADY
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 1:1490 N BANK PKWY
Mailing Address - Street 2:SUITE 290
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2430
Mailing Address - Country:US
Mailing Address - Phone:205-333-5266
Mailing Address - Fax:205-561-6076
Practice Address - Street 1:1490 N BANK PKWY
Practice Address - Street 2:SUITE 290
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2430
Practice Address - Country:US
Practice Address - Phone:205-333-2656
Practice Address - Fax:205-561-6076
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11421207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL115059Medicaid
AL511-00384OtherBCBS OF ALABAMA
AL009935987Medicaid
ALDP9610OtherMEDICARE RAILROAD GROUP NUMBER
AL51532985OtherBC BS ALABAMA PROVIDER NU
AL009935987Medicaid
AL511-00384OtherBCBS OF ALABAMA
AL051532985Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER