MEDICARE: STEPHEN EDWARD HEINZMAN M.D.

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	2086S0129X	Vascular Surgery Physician	00020932	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051076986	OTHER	AL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	F63076	OTHER	AL	VIVA
4	17-10068	OTHER	AL	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1497863088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN EDWARD HEINZMAN M.D.

Provider Business Mailing Address
First Line	:	52 MEDICAL PARK DR E
Second Line	:	SUITE NUMBER 308
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3430
Country	:	US
Telephone Number	:	205-838-3025
Fax Number	:	205-838-3897

Provider Business Practice Location Address
First Line	:	52 MEDICAL PARK DR E STE 308
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3433
Country	:	US
Telephone Number	:	205-838-3025
Fax Number	:	205-838-3897

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	02/18/2022

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Directions to “ STEPHEN EDWARD HEINZMAN M.D.” Practice Location

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