NPIMap

Organization Active NPI

Protective Life

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1003211871
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PROTECTIVE LIFE
Practice address
2801 US 280
Birmingham, AL 35223
Phone
(205) 268-3265
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jimmie Bottcher
Title
Director
Phone
(205) 268-3265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2801 US 280
Birmingham, AL 35223

Mailing address

2801 US 280
Birmingham, AL 35223

Other names 1

  • Protective Life BHS Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2801 Highway 280 S
Birmingham, AL 35223
Phone (205) 268-3265

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1003211871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 US 280",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 US 280",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35223",
            "telephone_number": "205-268-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTECTIVE LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "BOTTCHER",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-268-3265"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Protective Life BHS Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.