Brent Booth Whiddon, MD | |
203 Vaughan Memorial Dr, Selma, AL 36701-6950 | |
(334) 874-3633 | |
(334) 875-4331 |
Full Name | Brent Booth Whiddon |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 203 Vaughan Memorial Dr, Selma, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235339342 | NPI | - | NPPES |
130898 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD.30813 (Alabama) | Primary |
Entity Name | Montgomery Women's Health Associates P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376726125 PECOS PAC ID: 9032132329 Enrollment ID: O20060112000779 |
Entity Name | Decatur Women's Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023423605 PECOS PAC ID: 3971828278 Enrollment ID: O20150209000698 |
Entity Name | Obhg Alabama, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881976520 PECOS PAC ID: 0547545923 Enrollment ID: O20170327002294 |
Mailing Address | Practice Location Address |
---|---|
Brent Booth Whiddon, MD 203 Vaughan Memorial Dr, Selma, AL 36701-6950 Ph: (334) 874-3633 | Brent Booth Whiddon, MD 203 Vaughan Memorial Dr, Selma, AL 36701-6950 Ph: (334) 874-3633 |
Dr. Samuel C Lett, M.D Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1107 Voeglin Ave, Suite 300, Selma, AL 36703 Phone: 334-875-1440 Fax: 334-875-1446 | |
Dr. William Michael Stevens, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1023 Medical Center Pkwy, Suite 401, Selma, AL 36701 Phone: 334-875-7173 Fax: 866-890-6112 |