Individual provider Active NPI

Christopher Bunyan Cole, M.D.

  • Family Medicine Physician
  • Athens, AL
National Provider Identifier
1124032008
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-103545 Issued in IL
Practice address
1005 W Market St
Suite B
Athens, AL 35611-2454
Phone
(256) 230-3061
Fax
(256) 230-3009
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-103545 IL Primary

Addresses

Primary practice location

1005 W Market St
Suite B
Athens, AL 35611-2454

Mailing address

142 N Sequoia Blvd
Florence, AL 35630-1058
Phone (256) 683-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091207000144 AL Practitioner - Family Practice 9638218506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality of Life Health Services IncGroup PAC ID 7810890902, 39 clinicians

Practice addresses (Care Compare)

2016 Main Swave
Cullman, AL 35055-5239
Phone (256) 775-8352

Hospital & facility affiliations

  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-103545ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc CurrentSince Jun 15, 2015 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Jun 15, 2015 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services Inc Past Accepting new patients

Locations

2016 Main Ave SW
Cullman, AL 35055
Phone (256) 775-0230

1409 Springfield Ave
Gadsden, AL 35903
Phone (256) 439-6383

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

Interoperability endpoints

  • Direct secure messaging: ccole333162@direct.ochin.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1124032008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 N SEQUOIA BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301058",
            "telephone_number": "256-683-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-230-3061",
            "fax_number": "256-230-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "BUNYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-103545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.