| Justin Brian Riddle, APRN | |
| 
					805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638  | |
| (205) 939-3699 | |
| (205) 484-2585 | 
| Full Name | Justin Brian Riddle | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 805 Saint Vincents Dr Ste 100, Birmingham, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588407639 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-153867 (Alabama) | Primary | 
| Entity Name | Stv Sports Medicine & Orthopedics Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467818575 PECOS PAC ID: 0446554562 Enrollment ID: O20160210002722  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Justin Brian Riddle, APRN 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638 Ph: (205) 939-3699  | Justin Brian Riddle, APRN 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638 Ph: (205) 939-3699  | 
Mrs. April Hooper Weatherly, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-939-9175  | |
Miss Leigh Anne Wenzel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Saint Vincents Dr, Suite500, Birmingham, AL 35205 Phone: 205-933-8334 Fax: 205-271-5681  | |
Ms. Carly Rae Hawkins, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9285 Fax: 205-975-1941  | |
Ashlee Brooke Quick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3729 Mary Taylor Rd, Birmingham, AL 35235 Phone: 205-856-4440 Fax: 205-856-4445  | |
Anyet Belyeu,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Ave S, Birmingham, AL 35205 Phone: 205-930-7155 Fax: 205-930-7061  | |
Amy Urban, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Lowder Bldg., Suite 618, Birmingham, AL 35233 Phone: 205-638-9918  | |
Jessica Cha,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816  |