Brice  H  Brackin    MD
Contract Details
Gerhardt & Brackin
Facility name
Provider ID
P000000187
NPI
1346229267
Tax ID
562349357
Effective Date
2/1/2004
Last Updated
6/6/2014
Direct Contract
Yes
Term Date
5/14/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1004 1st Street North Suite 350
Alabaster, AL 35007
United States
County
Shelby
Phone
2056632103 (Phone)
Billing Details
Address
1004 1st Street North
Suite 350
Alabaster, AL 35007
Billing Phone
2056632103
Specialty Type
Surgery, Orthopedic
Map
Address