Organization Active NPI

Walker Womens Specialists PC

  • Specialist
  • Jasper, AL
National Provider Identifier
1023201258
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AL28185 Issued in AL
Legal business name
WALKER WOMENS SPECIALISTS PC
Practice address
304 Blackwell Dairy Road
Jasper, AL 35504
Phone
(205) 384-4801
Fax
(205) 384-4538
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Ms. Linda Marie Thaler
Title
Office Manager
Phone
(205) 384-4801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X AL28185 AL Primary

Addresses

Primary practice location

304 Blackwell Dairy Road
Jasper, AL 35504

Mailing address

304 Blackwell Dairy Road
Jasper, AL 35504
Phone (205) 384-4801

Other names 1

  • BRUNNER OBSTETRICS AND GYNECOLOGY PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070831000140 AL Part B Supplier - Clinic/Group Practice 2163515438 Receives reassigned benefits from 6 practitioners
Practice locations: Jasper, AL

National Provider Directory

National Provider Directory

Locations

304 Blackwell Dairy Rd
Jasper, AL 35504
Phone (205) 384-4801

3400 Highway 78 E
Ste 510
Jasper, AL 35501
Phone (205) 384-0011

Practitioners & affiliated clinicians

Practitioners 7

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": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1023201258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BLACKWELL DAIRY ROAD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35504",
            "telephone_number": "205-384-4801",
            "fax_number": "205-384-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 BLACKWELL DAIRY ROAD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35504",
            "telephone_number": "205-384-4801",
            "fax_number": "205-384-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER WOMENS SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2024-12-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "THALER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-384-4801",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "AL28185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRUNNER OBSTETRICS AND GYNECOLOGY PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.