MEDICARE: BRITTANY REBECCA HINTEN PRUETT MD

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	207V00000X	Obstetrics & Gynecology Physician	MD.54134	AL

General Provider Information

NPI Number	:	1710637103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY REBECCA HINTEN PRUETT MD

Provider Business Mailing Address
First Line	:	806 SAINT VINCENTS DR STE 500
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1617
Country	:	US
Telephone Number	:	205-930-1800
Fax Number	:	205-930-1818

Provider Business Practice Location Address
First Line	:	806 SAINT VINCENTS DR STE 500
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1617
Country	:	US
Telephone Number	:	205-930-1800
Fax Number	:	205-930-1818

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

Provider Enumeration Date	:	03/28/2022
Last Update Date	:	06/10/2026

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