NPIMap

Organization Active NPI

HCA for Baptist Health, an Affiliate of Uab Health System

Doing business as Montgomery Family Medicine Residency Program

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1083267900
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HCA FOR BAPTIST HEALTH, AN AFFILIATE OF UAB HEALTH SYSTEM
Doing business as
Montgomery Family Medicine Residency Program
Practice address
4371 Narrow Lane Rd Ste 100
Montgomery, AL 36116-2975
Phone
(334) 613-3680
NPI assigned
Jul 19, 2019
Last updated
Jul 19, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HCA FOR BAPTIST HEALTH, AN AFFILIATE OF UAB HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Christine Bruton
Title
VP of Financial Management
Phone
(334) 273-4258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4371 Narrow Lane Rd Ste 100
Montgomery, AL 36116-2975

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005

Other identifiers 1

IdentifierTypeStateIssuer
158376MedicaidAL

Other names 1

  • Montgomery Family Medicine Residency Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist Palliative Care19 organizations share this tax ID, including this one
Part of
Baptist Palliative Care

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1083267900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NARROW LANE RD STE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162975",
            "telephone_number": "334-613-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCA FOR BAPTIST HEALTH, AN AFFILIATE OF UAB HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HCA FOR BAPTIST HEALTH, AN AFFILIATE OF UAB HEALTH SYSTEM",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "VP OF FINANCIAL MANAGEMENT",
        "authorized_official_telephone_number": "334-273-4258"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158376",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Family Medicine Residency Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.