Healthcare Provider Details

I. General information

NPI: 1730983263
Provider Name (Legal Business Name): MRS. BROOKLYN RICHARD SPEARS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 UNIVERSITY HOSPITAL DR
MOBILE AL
36617-2300
US

IV. Provider business mailing address

2451 UNIVERSITY HOSPITAL DR # 212
MOBILE AL
36617-2300
US

V. Phone/Fax

Practice location:
  • Phone: 251-415-1496
  • Fax:
Mailing address:
  • Phone: 251-415-1496
  • Fax: 251-665-8255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberL.6545
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: