DR. STEPHEN DONALD MALLARD M.D. NPI 1386616530

NPI Information

NPI: 1386616530
Provider Name: DR. STEPHEN DONALD MALLARD, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1400 6TH AVE S
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 930-1501
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DR. Stephen Donald Mallard, M.D. is a pediatrics in Birmingham, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Stephen Donald Mallard, M.D. NPI is 1386616530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 6TH AVE S
BIRMINGHAM, AL
ZIP 35233-502
Phone: (205) 930-1501
Fax: (205) 930-0243

The enumeration date for this NPI number is 2/2/2006 and was last updated on 2/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		00019373	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051513705	OTHER	ALABAMA	BLUE SHIELD OF ALABAMA
2	G42710	MEDICARE UPIN	ALABAMA
3	051513704	OTHER	ALABAMA	BLUE SHIELD OF ALABAMA
4	303760331	MEDICAID	ALABAMA
5	303710331	MEDICAID	ALABAMA
6	303700331	MEDICAID	ALABAMA
7	051516185	OTHER	ALABAMA	BLUE SHIELD OF ALABAMA
8	051032095	OTHER	ALABAMA	BLUE SHIELD OF ALABAMA
9	051520380	OTHER	ALABAMA	BLUE SHIELD OF ALABAMA
10	051032090	OTHER	ALABAMA	BLUE SHIELD OF ALABAMA
11	303790331	MEDICAID	ALABAMA
12	303740331	MEDICAID	ALABAMA
13	303730331	MEDICAID	ALABAMA
14	303720331	MEDICAID	ALABAMA
15	051528591	OTHER	ALABAMA	BLUE SHIELD OF ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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