MEDICARE: SHARON BROM CHANEY 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	00023549	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00192328	OTHER	AL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	515-91791	OTHER	AL	AL BCBS
2	H61233	OTHER	AL	VIVA
3	7086371	OTHER	AL	AETNA
4	H61233	OTHER	AL	HEALTHSPRING

General Provider Information

NPI Number	:	1083702849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON BROM CHANEY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 430125
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-1125
Country	:	US
Telephone Number	:	205-595-0395
Fax Number	:	205-599-9024

Provider Business Practice Location Address
First Line	:	2008 STONEGATE TRL 100
Second Line	:
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2267
Country	:	US
Telephone Number	:	205-595-0395
Fax Number	:	205-599-9024

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	12/10/2015

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Directions to “ SHARON BROM CHANEY M.D.” Practice Location

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