Stuart Carl Tieszen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

00012918 Issued in AL

Practice address

2018 Brookwood Medical Ctr Dr
Pob #311
Birmingham, AL 35209-6898

Phone

(205) 329-7808

Fax

(205) 329-7807

NPI assigned

Aug 25, 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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1992812606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR",
            "address_2": "POB #311",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-329-7805",
            "fax_number": "205-329-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR",
            "address_2": "POB #311",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-329-7808",
            "fax_number": "205-329-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIESZEN",
        "first_name": "STUART",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "00012918",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "AL",
            "license": "00012918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS",
            "identifier": "051099489",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260040675",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "168112100",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE/UBH",
            "identifier": "45550",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS- BLUE SHIELD",
            "identifier": "051041027",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Paige Tidwell, RN
• Rhonda Sue Tidwell, RN
• Sarah Elise Tidwell, LPC
• Ricky Tiernan
• Brian J Tierney, MD
• Donald Carlin Tighe Jr., D.O.
• Ken R Tilashalski, D.M.D.
• Samuel J Tilden, M.D.
• Sean Tilford, DO
• Ian Till

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.