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

Seth Sturdivant, MD

Individual provider Family Medicine Physician · NPI 1124400544

Seth Sturdivant, MD is a Family Practice in San Angelo, Texas. Qualified in 2015, 11 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

120 E Harris Ave
San Angelo, TX 76903
Phone: (325) 481-6410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R8671 (TX)

Record details

NPI number1124400544
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 22, 2015
Last updated in NPPESAugust 13, 2018
Mailing address120 E Harris Ave, San Angelo, TX 76903-5904

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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