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General NPI Number Information
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NPI Number | 1174559660
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Entity Type | Individual
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Provider Name | BRET L FISHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1 W LAKESHORE DR STE 220
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City | HOMEWOOD
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State | AL
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Zip | 35209-7271
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Country | US
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Telephone | 205-949-2020
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Fax | 205-949-1400
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Provider Business Mailing Address
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Address Line | 3240 EDWARDS LAKE PKWY STE 100
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3128
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Country | US
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Telephone | 205-949-2020
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Fax | 205-949-1400
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME 64480
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME 64480
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License Number State | FL
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