Rhonda B Graham, D.O.
Individual provider Active NPI Pediatrics Physician · Brownsboro, AL
NPI 1053659367 · NPPES record last updated Apr 7, 2022
Key facts
- NPI
- 1053659367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- UO3184 (FL)
- Practice address
- 5729 Cove Commons Dr. SE
Suite C
Brownsboro, AL 35741-9744 - Phone
- (256) 367-2686
- Fax
- (256) 292-0114
- NPI assigned
- Jan 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170807001403 | AL | Practitioner - Pediatric Medicine | 4385915578 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO3184 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Clinic LLC | Current |
Accepting new patients | |
| Kids Cove Pediatrics, PLLC | Pediatrics | Current |
Accepting new patients |
| Children'S Urgent Care, LLC | Pediatrics | Current |
Accepting new patients |
Locations
500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273
5729 Cove Commons Dr SE
Ste C
Brownsboro, AL 35741
Phone (256) 367-2686
506 Harley St
Ste D
Scottsboro, AL 35768
Phone (256) 259-1232
506 Harley St
Scottsboro, AL 35768
Phone (256) 259-1234
117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | UO3184 | FL | Yes |
Addresses
Primary practice location
5729 Cove Commons Dr. SE
Suite C
Brownsboro, AL 35741-9744
Mailing address
5729 Cove Commons Dr. SE
Suite C
Brownsboro, AL 35741-9744
Other providers in Brownsboro, AL
- Hunter K Dreaden
- Chloe Watson Duffy
- Jennifer Egeland
- Kallie Amanda Fama
- Flint River Family Medicine, P.C.
- Madeline Faith Hine
- Taylor Nicole Johnson
- Carol White Justice
- Kaitlyn Kennedy
- Kids Cove Pediatrics, PLLC
All providers in Brownsboro, AL · Pediatrics 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 Apr 7, 2022. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.