Active NPI
Family Medicine Specialist LLC
- Legal Medicine
- Fairhope, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 6713
- Legal business name
- FAMILY MEDICINE SPECIALIST LLC
- Practice address
- 8367 Morphy Ave
Ste B
Fairhope, AL 36532-3653 - Phone
- (251) 410-6334
- NPI assigned
- Dec 19, 2014
- Last updated
- Dec 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael L McBrearty, M D
- Title
- President
- Phone
- (251) 410-6334
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 6713 | AL | Primary |
Addresses
Primary practice location
8367 Morphy Ave
Ste B
Fairhope, AL 36532-3653
Mailing address
8367 Morphy Ave
Ste B
Fairhope, AL 36532-3653
Phone (251) 410-6334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2090923 | Family Medicine Specialist | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
8367 Morphy Ave
#B
Fairhope, AL 36532
Phone (251) 410-6334
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Fairhope, AL
- NPI 1689655052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418947200000",
"number": "1043618226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8367 MORPHY AVE",
"address_2": "STE B",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323653",
"telephone_number": "251-410-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8367 MORPHY AVE",
"address_2": "STE B",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323653",
"telephone_number": "251-410-6334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICINE SPECIALIST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-19",
"last_updated": "2014-12-19",
"status": "A",
"authorized_official_last_name": "MCBREARTY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "251-410-6334",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "AL",
"license": "6713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.