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

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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