Provider Demographics
NPI:1689655052
Name:MCBREARTY, MICHAEL L (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:L
Last Name:MCBREARTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8367 MORPHY AVE
Mailing Address - Street 2:STE B
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-3653
Mailing Address - Country:US
Mailing Address - Phone:251-410-6334
Mailing Address - Fax:251-410-6466
Practice Address - Street 1:8367 MORPHY AVE
Practice Address - Street 2:STE B
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-3653
Practice Address - Country:US
Practice Address - Phone:251-410-6334
Practice Address - Fax:251-410-6466
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2017-05-24
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Provider Licenses
StateLicense IDTaxonomies
AL6713207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051004068OtherBLUE CROSS PROVIDER NO
AL051004068OtherBLUE CROSS PROVIDER NO
AL051004068OtherBLUE CROSS PROVIDER NO