Healthcare Provider Details

I. General information

NPI: 1396659280
Provider Name (Legal Business Name): ERIC REIGHARD-BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 HAMRIC DR W
OXFORD AL
36203-2353
US

IV. Provider business mailing address

894 LONGSHORE DR
ANNISTON AL
36206-7603
US

V. Phone/Fax

Practice location:
  • Phone: 256-525-7664
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number1800407
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: