NPI 1154438802
Brent Alan Tidwell, DC
Practice location
- Address
- 819 Mimosa Park Rd, Tuscaloosa, AL 35405-4839
- Phone
- (205) 752-7503
- Fax
- (205) 752-7513
- Mailing address
- 819 Mimosa Park Road, Tuscaloosa, AL 35405-3964
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1154438802
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Aug 2006
- Record last updated
- 8 Jul 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.