Provider Demographics
NPI:1386752723
Name:CHANDLER, STEPHEN W (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:W
Last Name:CHANDLER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 BROWN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:350 TAYLOR RD STE 2200
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3571
Practice Address - Country:US
Practice Address - Phone:334-747-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00024603207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630755234OtherGUARDIAN
AL630755234OtherGREAT WEST
AL009989720Medicaid
AL51507339OtherBCBS
AL630755234OtherHUMANA
AL630755234OtherPACIFCARE
AL040017480OtherRAILROAD MEDICARE
AL630755234OtherWAUSAU
AL630755234OtherMAIL HANDLERS
AL630755234OtherASSURANT
AL630755234OtherGEHA
AL0007333379OtherAETNA
AL630755234OtherCIGNA
AL630755234OtherBIG LOTS
ALH61109OtherSENIOR FIRST
AL630755234OtherUNITED HEALTHCARE
ALH61109OtherSENIOR FIRST
AL051507339Medicare ID - Type Unspecified