Organization Active NPI

Eastern Shore Family Practice PC

  • Family Medicine Physician
  • Daphne, AL
National Provider Identifier
1033322854
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EASTERN SHORE FAMILY PRACTICE PC
Practice address
27961 US Highway 98
Suite 14
Daphne, AL 36526-4702
Phone
(251) 626-1175
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Grant Brummett, MD
Title
President
Phone
(251) 626-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

27961 US Highway 98
Suite 14
Daphne, AL 36526-4702

Mailing address

27961 US Highway 98
Suite 14
Daphne, AL 36526-4702
Phone (251) 626-1175

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0305219Eastern Shore Family Practice27961 US Hwy 98 Suite 14, Daphne, AL 36526ComplianceOct 31, 2026

National Provider Directory

National Provider Directory

Locations

27961 US Highway 98
Ste 14
Daphne, AL 36526
Phone (251) 626-1175

Practitioners & affiliated clinicians

Practitioners 2

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033322854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27961 US HIGHWAY 98",
            "address_2": "SUITE 14",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264702",
            "telephone_number": "251-626-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27961 US HIGHWAY 98",
            "address_2": "SUITE 14",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264702",
            "telephone_number": "251-626-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUMMETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-626-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.