Active NPI
The Village Medical Clinic
- Specialist
- Huntsville, AL
National Provider Identifier
1114968583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- THE VILLAGE MEDICAL CLINIC
- Practice address
- 2103 Drake Ave SW
Huntsville, AL 35805-5107 - Phone
- (256) 881-1616
- Fax
- (256) 882-5322
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Brabon, CPC, CMOM
- Title
- Office Manager
- Phone
- (256) 881-1616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2103 Drake Ave SW
Huntsville, AL 35805-5107
Mailing address
2103 Drake Ave SW
Huntsville, AL 35805-5107
Phone (256) 881-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0982367 | Village Medical Clinic PC | Provider-performed microscopy | Jan 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
2103 Drake Ave SW
Huntsville, AL 35805
Phone (256) 881-1616
4800 Whitesburg Dr SW
Ste 2
Huntsville, AL 35802
Phone (256) 881-1616
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Huntsville, AL
- NPI 1225004617
-
- Internal Medicine Physician
- Huntsville, AL
- NPI 1982667788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114968583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 DRAKE AVE SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358055107",
"telephone_number": "256-881-1616",
"fax_number": "256-882-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 DRAKE AVE SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358055107",
"telephone_number": "256-881-1616",
"fax_number": "256-882-5322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE VILLAGE MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRABON",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "256-881-1616",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPC, CMOM"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
- The Riley Center Behavioral and Educational Center
- The Serenity Seat
- The Summit Health & Rehab Services, Inc.
- The Valley Foundation
- The Vascular Surgery Center of HSV
- The Zen Zone-Counseling, Consulting, Coaching
- The Zen Zone-Counseling, Consulting, Coaching
- Naomi Thelusma, MD
- Therapeutic Pathways LLC
- Therapy Achievements, LLC
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.