MEDICARE: DR. STEPHEN ALAN BRANNING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	00008479	AL

General Provider Information

NPI Number	:	1033188875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN ALAN BRANNING M.D.

Provider Business Mailing Address
First Line	:	2828 HIGHWAY 31 S
Second Line	:	SUITE 110
City	:	DECATUR
State	:	AL
Zip	:	35603-1538
Country	:	US
Telephone Number	:	256-350-9417
Fax Number	:	256-584-6815

Provider Business Practice Location Address
First Line	:	2828 HIGHWAY 31 S
Second Line	:	SUITE 110
City	:	DECATUR
State	:	AL
Zip	:	35603-1538
Country	:	US
Telephone Number	:	256-350-9417
Fax Number	:	256-584-6815

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	07/09/2007

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