Jlbmd Consulting, PC
Organization Active NPI Family Medicine Physician · Reform, AL
NPI 1003449869 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1003449869
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- JLBMD CONSULTING, PC
- Practice address
- 108 4TH Ave SW Ste a
Reform, AL 35481-8018 - Phone
- (205) 375-6251
- NPI assigned
- Feb 19, 2020
- Organization subpart
- No
Authorized official
- Name
- Julia Boothe, MD
- Title
- Physician
- Phone
- (205) 375-6251
Corporate family (same tax ID) 1
Practitioners 4
-
Julia Lett Boothe, M.D.
-
Theresa Darlene Putman, CRNP
-
Stacy Gallop, FNP-BC
-
Randa Corley, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200326003641 | AL | Part B Supplier - Clinic/Group Practice | 6901235969 |
Receives reassigned benefits from 4 practitioners Practice locations: Reform, AL; Vernon, AL |
National Provider Directory
- Tax ID family
- Jlbmd Consulting PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
108 4TH Ave SW Ste a
Reform, AL 35481-8018
Mailing address
PO Box 1000
Reform, AL 35481-1000
Phone (205) 375-6251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381316 | Medicaid | AL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Reform |
Other providers in Reform, AL
- H &W Apothecary, Inc
- Kristin Hamner
- John Chad Harless
- Angela Harper
- Robert Neil Honea
- Jlbmd Consulting, PC
- Laci Jones
- Laura Lake
- Landreth & Associates Inc
- Samantha Latham
All providers in Reform, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.