Healthcare Provider Details

I. General information

NPI: 1447354907
Provider Name (Legal Business Name): STEPHEN MARK TAYLOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 MONTGOMERY HWY SUITE 200
BIRMINGHAM AL
35216-2805
US

IV. Provider business mailing address

1025 MONTGOMERY HWY SUITE 200
BIRMINGHAM AL
35216-2805
US

V. Phone/Fax

Practice location:
  • Phone: 205-978-7511
  • Fax: 205-978-7277
Mailing address:
  • Phone: 205-978-7511
  • Fax: 205-978-7277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number19819
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number64290
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number19819
License Number StateAL
# 4
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number19819
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number29227
License Number StateMS
# 6
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number64290
License Number StateTN
# 7
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number29227
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: