IndividualActive
Brent Haverstock
NPI 1780111831 · Podiatrist · Birmingham, AL
Provider details
- NPI number
- 1780111831
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 335 (AL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1717 6th Ave S
Birmingham, AL 35233-1801
Phone: (800) 822-8816
Approximate (ZIP-level) locationGet directions
Mailing address
1717 6th Ave S
Birmingham, AL 35233-1801
Additional practice locations (3)
- 1808 7th Ave SBirmingham, AL 35233-1912Phone: (205) 934-2003Fax: (205) 934-0053
- 1509 6th Ave SBirmingham, AL 35233-1601Phone: (205) 930-3200Fax: (205) 930-3433
- 1808 7th Ave SBirmingham, AL 35233-1912Phone: (205) 934-2003Fax: (205) 934-0053
Registry dates
- Enumerated
- 2017-05-20
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.