Organization Active NPI

Ricky Tubbs, LLC

  • General Practice Physician
  • Pell City, AL
National Provider Identifier
1144627126
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RICKY TUBBS, LLC
Practice address
613 Martin St N
Suite 300
Pell City, AL 35125-1333
Phone
(256) 368-1509
NPI assigned
Nov 19, 2014
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. Ricky Brian Tubbs, D.O.
Title
Physician
Phone
(256) 368-1509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

613 Martin St N
Suite 300
Pell City, AL 35125-1333

Mailing address

1122 Shady Lane Cir
Talladega, AL 35160-2941
Phone (256) 640-0416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1144627126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 SHADY LANE CIR",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602941",
            "telephone_number": "256-640-0416",
            "fax_number": "256-268-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 MARTIN ST N",
            "address_2": "SUITE 300",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251333",
            "telephone_number": "256-368-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKY TUBBS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "TUBBS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-368-1509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.