MEDICARE: DR. BRENT M HARWOOD DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	155	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
12	P00350970	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051052087	OTHER	AL	BCBS ALABAMA
2	051093258	OTHER	AL	BCBS ALABAMA
3	051093260	OTHER	AL	BCBS AL
4	059203311	OTHER	AL	BCBS AL
5	059178052	OTHER	AL	BCBS ALABAMA
6	051047231	OTHER	AL	BCBS AL
7	65445	OTHER	FL	BCBS FLORIDA
8	051047422	OTHER	AL	BCBS AL
9	051093257	OTHER	AL	BCBS ALABAMA
10	051093263	OTHER	AL	BCBS ALABAMA
11	051548844	OTHER	AL	BCBS AL

General Provider Information

NPI Number	:	1609869536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENT M HARWOOD DPM

Provider Business Mailing Address
First Line	:	23937 US HIGHWAY 98
Second Line	:	STE 1
City	:	FAIRHOPE
State	:	AL
Zip	:	36532-3359
Country	:	US
Telephone Number	:	251-928-6768
Fax Number	:	251-928-0783

Provider Business Practice Location Address
First Line	:	23937 HWY 98
Second Line	:
City	:	MONTROSE
State	:	AL
Zip	:	36559
Country	:	US
Telephone Number	:	251-928-6768
Fax Number	:	251-928-0783

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	02/21/2013

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Directions to “ DR. BRENT M HARWOOD DPM” Practice Location

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