Active NPI
Enterprise Speech and Learning Center, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Enterprise, AL
National Provider Identifier
1144391475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- License
- 12983
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51521673 | Other | AL | BCBS |
Other names 1
- Enterprise Speech and Learning Center, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Foley, AL
- NPI 1659317345
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.