Urology Clinic of South Alabama, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

AL00025839 Issued in AL

Legal business name

UROLOGY CLINIC OF SOUTH ALABAMA, LLC

Practice address

215 Medical Park Dr
Suite 2
Andalusia, AL 36420-5311

Phone

(334) 427-7218

Fax

(334) 427-4999

NPI assigned

Aug 27, 2007

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandru E Benet, MDNPI 1033114269

Title

Owner

Phone

(334) 427-7218

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandru E Benet, M.D.

  • Specialist
  • Andalusia, AL
  • NPI 1033114269
  Medicare reassignment Authorized official
• James S Goodlet Jr., M.D.

  • Urology Physician
  • Marietta, GA
  • NPI 1225033442
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1013100627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MEDICAL PARK DR",
            "address_2": "SUITE 2",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205311",
            "telephone_number": "334-427-7218",
            "fax_number": "334-427-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MEDICAL PARK DR",
            "address_2": "SUITE 2",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205311",
            "telephone_number": "334-427-7218",
            "fax_number": "334-427-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CLINIC OF SOUTH ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "BENET",
        "authorized_official_first_name": "ALEXANDRU",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-427-7218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "AL00025839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Thompson, ALC
• Three Notch Chiropractic, PLLC
• Three Notch Medical Center, PC
• James H Tillman Jr., O.D.
• Charles Gary Tomberlin, MD
• Urology Clinic, LLC
• Jacqueline Hope Veasey
• Stella Louise Vinson, NP
• Denese Volet, MA, LPC, CART
• Rebecca Vollmer

• Specialist in Andalusia, AL
• Providers in Andalusia, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.