Earl Wimberly Stradtman Jr., M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

10510 Issued in AL

Practice address

2660 10TH Ave S
Suite 201
Birmingham, AL 35205-1200

Phone

(205) 933-5600

Fax

(205) 933-5602

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Earl W. Stradtman Jr., M/D. PC

  • Reproductive Endocrinology Physician
  • Birmingham, AL
  • NPI 1548444383
  NPD (past) Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1508819145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051200",
            "telephone_number": "205-933-5600",
            "fax_number": "205-933-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051200",
            "telephone_number": "205-933-5600",
            "fax_number": "205-933-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADTMAN",
        "first_name": "EARL",
        "middle_name": "WIMBERLY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AL",
            "license": "10510",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "10510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000024910",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaney Stover, PTA
• Andree G Stoves, MD
• Victoria Stowasser, MD
• Samuel Louis Strachan, M.D.
• Cecilia McGilvray Stradtman, MD
• Straightview
• Alison Brady McDuffie Strain, M.S., OTR/L
• Angel Strait, RN
• Britny K Stramer, CRNP
• Amory Warren Strange, LMSW

• Gynecology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.