Organization Active NPI

Enterprise Speech and Learning Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Enterprise, AL
National Provider Identifier
1144391475
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
12983 Issued in AL
Legal business name
ENTERPRISE SPEECH AND LEARNING CENTER, LLC
Practice address
1018 Rucker Blvd Ste D
Enterprise, AL 36330-3688
Phone
(334) 393-5555
Fax
(334) 308-0060
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Mr. Allen Bryan
Title
Owner
Phone
(334) 393-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 12983 AL Primary

Addresses

Primary practice location

1018 Rucker Blvd Ste D
Enterprise, AL 36330-3688

Mailing address

PO Box 310178
Enterprise, AL 36331-0178
Phone (334) 393-7500

Other identifiers 1

IdentifierTypeStateIssuer
51521673OtherALBCBS

Other names 1

  • Enterprise Speech and Learning Center, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000192 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062498603 Receives reassigned benefits from 1 practitioner
Practice locations: Enterprise, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1144391475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310178",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363310178",
            "telephone_number": "334-393-7500",
            "fax_number": "334-393-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 RUCKER BLVD STE D",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303688",
            "telephone_number": "334-393-5555",
            "fax_number": "334-308-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE SPEECH AND LEARNING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-393-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AL",
            "license": "12983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51521673",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enterprise Speech and Learning Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.