Organization Active NPI

Bauer Urology Clinic, LLC

  • Urology Physician
  • Alexander City, AL
National Provider Identifier
1144320342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
22601 Issued in AL
Legal business name
BAUER UROLOGY CLINIC, LLC
Practice address
125 Alison Dr Ste 2
Alexander City, AL 35010-4410
Phone
(256) 215-3601
NPI assigned
Sep 25, 2006
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
Dr. Brad L Bauer, MD
Title
Physician and 100 Owner
Phone
(256) 215-3601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 22601 AL Primary

Addresses

Primary practice location

125 Alison Dr Ste 2
Alexander City, AL 35010-4410

Mailing address

PO Box 159
Alexander City, AL 35011-0159
Phone (256) 215-3601

Other identifiers 5

IdentifierTypeStateIssuer
9193345OtherALPHYSICIAN HEALTHCARE SVCS
51526132OtherALBCBS OF AL PROVIDER #
1950797OtherALCCN/JSL ADMINISTRATORS IN
1457352684OtherALIND. NPI # FOR DR.BAUER
POO276233OtherALPALMETTO GBA - RAILROAD

National Provider Directory

National Provider Directory

Locations

3368 Highway 280
Ste 100
Alexander City, AL 35010
Phone (256) 215-3601

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144320342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350110159",
            "telephone_number": "256-215-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALISON DR STE 2",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104410",
            "telephone_number": "256-215-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUER UROLOGY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN AND 100 OWNER",
        "authorized_official_telephone_number": "256-215-3601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AL",
            "license": "22601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN HEALTHCARE SVCS",
            "identifier": "9193345",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL PROVIDER #",
            "identifier": "51526132",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN/JSL ADMINISTRATORS IN",
            "identifier": "1950797",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. NPI # FOR DR.BAUER",
            "identifier": "1457352684",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD",
            "identifier": "POO276233",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, 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.