Healthcare Provider Details

I. General information

NPI: 1063656858
Provider Name (Legal Business Name): STEPHEN GOULD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1938 AL HIGHWAY 157 STE 101
CULLMAN AL
35058-1819
US

IV. Provider business mailing address

PO BOX 2895
CULLMAN AL
35056-2895
US

V. Phone/Fax

Practice location:
  • Phone: 256-735-5505
  • Fax: 256-964-9954
Mailing address:
  • Phone: 256-735-5044
  • Fax: 256-801-7626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number33338
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: