Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent Haverstock

Individual provider Podiatrist · NPI 1780111831

Brent Haverstock is a Podiatry in Birmingham, Alabama. Qualified in 1995, 31 years ago. Practices with Cooper Green Mercy Health Services Authority an Affiliate of UAB, a 96-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
31
Licensed in
AL
In the registry since
2017
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Practice location Address checks out

1717 6th Ave S
Birmingham, AL 35233-1801
Phone: (800) 822-8816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1509 6th Ave S, Birmingham, AL 35233-1601 — (205) 930-3200
  • 1808 7th Ave S, Birmingham, AL 35233-1912 — (205) 934-2003
  • 1808 7th Ave S, Birmingham, AL 35233-1912 — (205) 934-2003

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 335 (AL)

Record details

NPI number1780111831
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2017
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Cooper Green Mercy Health Services Authority An Affiliate Of Uab — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Birmingham