Prattville Medical Clinic, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRATTVILLE MEDICAL CLINIC, PC

Practice address

1739 E Main St
Prattville, AL 36066-5525

Phone

(334) 358-8106

Fax

(334) 358-8107

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charlton H Trinidad, MDNPI 1366530529

Title

Owner

Phone

(334) 358-8106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlton H Trinidad, MD

  • Internal Medicine Physician
  • Prattville, AL
  • NPI 1366530529
  Medicare reassignment Care Compare group NPD Authorized official
• Sylvania S Trinidad, MD

  • Internal Medicine Physician
  • Prattville, AL
  • NPI 1669560835
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1144318312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 TAYLOR RD",
            "address_2": "SUITE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177790",
            "telephone_number": "334-270-9914",
            "fax_number": "334-270-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 E MAIN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665525",
            "telephone_number": "334-358-8106",
            "fax_number": "334-358-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATTVILLE MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "TRINIDAD",
        "authorized_official_first_name": "CHARLTON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-358-8106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prattville Community Dialysis LLC
• Prattville Dental Associates, LLC
• Prattville Health and Rehabilitation LLC
• Prattville Heart Center LLC
• Prattville Home Midwifery, LLC
• Prattville Medical Equipment Inc.
• Prattville Midwifery
• Prattville Pediatric Speech Clinic, LLC
• Prattville Primary Care LLC
• Precision Cpap, Inc.

• Internal Medicine Physician in Prattville, AL
• Providers in Prattville, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.