MEDICARE: DR. STEPHEN W CHANDLER 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	207Y00000X	Otolaryngology Physician	00024603	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	040017480	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	630755234	OTHER	AL	GUARDIAN
2	630755234	OTHER	AL	GREAT WEST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	51507339	OTHER	AL	BCBS
5	630755234	OTHER	AL	HUMANA
6	630755234	OTHER	AL	PACIFCARE
8	630755234	OTHER	AL	WAUSAU
9	630755234	OTHER	AL	MAIL HANDLERS
10	630755234	OTHER	AL	ASSURANT
11	630755234	OTHER	AL	GEHA
12	0007333379	OTHER	AL	AETNA
13	630755234	OTHER	AL	CIGNA
14	630755234	OTHER	AL	BIG LOTS
15	H61109	OTHER	AL	SENIOR FIRST
16	630755234	OTHER	AL	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1386752723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN W CHANDLER M.D.

Provider Business Mailing Address
First Line	:	301 BROWN SPRINGS RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-7005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 TAYLOR RD STE 2200
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3571
Country	:	US
Telephone Number	:	334-747-7500
Fax Number	:

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

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	04/07/2025

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