| 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. 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 |