NPIMap

Organization Active NPI

Medicine Beyond Walls, LLC

  • Specialist
  • Bessemer, AL
National Provider Identifier
1154505386
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00024899 Issued in AL
Legal business name
MEDICINE BEYOND WALLS, LLC
Practice address
6291 Letson Farms Dr
Bessemer, AL 35022-7025
Phone
(205) 296-6464
Fax
(205) 477-6106
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Dr. Antonowsky Demel Coleman, M.D.NPI 1063529485
Title
Owner/Medical Director
Phone
(205) 296-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00024899 AL Primary

Addresses

Primary practice location

6291 Letson Farms Dr
Bessemer, AL 35022-7025

Mailing address

6291 Letson Farms Dr
Bessemer, AL 35022-7025
Phone (205) 296-6464

National Provider Directory

National Provider Directory
Tax ID family
Medicine Beyond Walls LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1154505386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6291 LETSON FARMS DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227025",
            "telephone_number": "205-296-6464",
            "fax_number": "205-477-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6291 LETSON FARMS DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227025",
            "telephone_number": "205-296-6464",
            "fax_number": "205-477-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE BEYOND WALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ANTONOWSKY",
        "authorized_official_middle_name": "DEMEL",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "205-296-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "00024899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.