NPIMap

Organization Active NPI

Alabama Internal Medicine, LLC

  • Internal Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1114910205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21385 Issued in AL
Legal business name
ALABAMA INTERNAL MEDICINE, LLC
Practice address
1435 2ND CT E
Tuscaloosa, AL 35401-3276
Phone
(205) 349-1606
Fax
(205) 349-3263
NPI assigned
Aug 24, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rachel Durrough
Title
Insurance Clerk
Phone
(205) 349-1606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 21385 AL Primary

Addresses

Primary practice location

1435 2ND CT E
Tuscaloosa, AL 35401-3276

Mailing address

1435 2ND CT E
Tuscaloosa, AL 35401-3276
Phone (205) 349-1606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114910205",
    "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": "205-349-1606",
            "fax_number": "205-349-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 2ND CT E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013276",
            "telephone_number": "205-349-1606",
            "fax_number": "205-349-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURROUGH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "205-349-1606",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "21385",
            "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 Aug 22, 2020; 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.