Organization Active NPI

University Diagnostics of Tuscaloosa, Inc

  • Psychiatry Physician
  • Tuscaloosa, AL
National Provider Identifier
1063718542
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21330 Issued in AL
Legal business name
UNIVERSITY DIAGNOSTICS OF TUSCALOOSA, INC
Practice address
701 University Blvd E Ste 204
Tuscaloosa, AL 35401-7431
Phone
(205) 553-9171
Fax
(205) 553-9127
NPI assigned
Feb 1, 2011
Last updated
Sep 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Dr. Gary Newsom, M.D.NPI 1992723019
Title
Physician
Phone
(205) 349-1571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21330 AL Primary

Addresses

Primary practice location

701 University Blvd E Ste 204
Tuscaloosa, AL 35401-7431

Mailing address

1435 2ND CT E
Tuscaloosa, AL 35401-3276
Phone (205) 349-1571

National Provider Directory

National Provider Directory

Locations

1435 2nd Ct E
Ste 204
Tuscaloosa, AL 35401
Phone (205) 553-9171

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.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1063718542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 2ND CT E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013276",
            "telephone_number": "205-349-1571",
            "fax_number": "205-349-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E STE 204",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017431",
            "telephone_number": "205-553-9171",
            "fax_number": "205-553-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DIAGNOSTICS OF TUSCALOOSA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-349-1571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "21330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.