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1093710832

NPI Code Detail

MEDICARE: COLIN C STEWART MD

MEDICARE: COLIN C STEWART MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	00023533	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	511-60767	OTHER	AL	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	515-42601	OTHER	AL	BLUE CROSS
7	515-54689	OTHER	AL	BLUE CROSS
8	7578605	OTHER	AL	AETNA
9	511-71007	OTHER	AL	BLUE CROSS
10	515-90397	OTHER	AL	BLUE CROSS
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	051541323	OTHER	AL	BLUE CROSS
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	515-41122	OTHER	AL	BLUE CROSS
15	051554689	OTHER	AL	BLUE CROSS

General Provider Information

NPI Number	:	1093710832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLIN C STEWART MD

Provider Business Mailing Address
First Line	:	PO BOX 55310
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35255-5310
Country	:	US
Telephone Number	:	205-731-9701
Fax Number	:	205-297-9411

Provider Business Practice Location Address
First Line	:	619 19TH ST S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35249-1900
Country	:	US
Telephone Number	:	205-801-7396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	04/13/2017

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Directions to “ COLIN C STEWART MD” Practice Location

Language	Start Address	Practice Location

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