Genta Medical Clinic P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

15032 Issued in AL

Legal business name

GENTA MEDICAL CLINIC P.C.

Practice address

1460 1St Ave SW
Jacksonville, AL 36265-3329

Phone

(256) 435-2895

Fax

(256) 435-2969

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Oscar Brown, M.D.

Title

President

Phone

(256) 435-2895

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John O. Browb, M.D. Other name

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1073612339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 1ST AVE SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653329",
            "telephone_number": "256-435-2895",
            "fax_number": "256-435-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 1ST AVE SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653329",
            "telephone_number": "256-435-2895",
            "fax_number": "256-435-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTA MEDICAL CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-435-2895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "15032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "15032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John O. Browb, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diana C. Ford, MA, LPC
• Garrett Counseling and Consulting
• Ashley Lynn Garrett, LPC, MS, ED.S
• Ellie Kimiko Garrett
• Cara Nicole Gauldin
• Jacqueline E Gleason, PHARMD
• Stephanie C Gossett, RD
• Ryan Mathew Grammer, PT, DPT
• Jonathan Griffith, ATC, LAT
• Leisha Hancock

• Specialist in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.