Brett Stark DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

225 Issued in AL

Legal business name

BRETT STARK DPM PC

Practice address

785 N Dean Rd
Suite 100
Auburn, AL 36830-4033

Phone

(334) 466-1401

Fax

(334) 466-1433

NPI assigned

Dec 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brett S Stark, DPMNPI 1841203957

Title

Owner

Phone

(334) 466-1401

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett S Stark, DPM

  • Primary Podiatric Medicine Podiatrist
  • Auburn, AL
  • NPI 1841203957

  AL, Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1497816458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N DEAN RD",
            "address_2": "SUITE 5",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304404",
            "telephone_number": "334-466-1401",
            "fax_number": "334-466-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 N DEAN RD",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304033",
            "telephone_number": "334-466-1401",
            "fax_number": "334-466-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT STARK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-466-1401",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51503568",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033606",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4318200001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Elrod Bradley, MD
• Rachel Bramlett, CCC-SLP
• Katherine Long Brantley, LICSW, PIP
• Deborah M Breckenridge, M.ED., LPC
• Brenda Chynoweth LLC
• Sarah Sims Bridges
• Rene J Britt, PH.D
• Julia Cleone Brock, LPC
• Brittney Deonte Brooks, PMHNP-BC
• Devin Brooks

• All providers in Auburn, AL
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.