Active NPI
Mobile Urology Group, P.a.
- Specialist
- Mobile, AL
National Provider Identifier
1164407151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MOBILE UROLOGY GROUP, P.A.
- Practice address
- 101 Memorial Hospital Dr
Suite 100
Mobile, AL 36608-1786 - Phone
- (251) 343-9090
- Fax
- (251) 380-1015
- NPI assigned
- Dec 13, 2005
- 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. Robert Fleck
- Title
- Practice Administrator
- Phone
- (251) 343-9090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
101 Memorial Hospital Dr
Suite 100
Mobile, AL 36608-1786
Mailing address
101 Memorial Hospital Dr
Suite 100
Mobile, AL 36608-1786
Phone (251) 343-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0635230001 | Other | AL | DMERC JURISDICTION C |
National Provider Directory
National Provider DirectoryLocations
6701 Airport Blvd
Ste B324
Mobile, AL 36608
Phone (251) 633-2272
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Mobile, AL
- NPI 1831207893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1164407151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MEMORIAL HOSPITAL DR",
"address_2": "SUITE 100",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081786",
"telephone_number": "251-343-9090",
"fax_number": "251-380-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MEMORIAL HOSPITAL DR",
"address_2": "SUITE 100",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081786",
"telephone_number": "251-343-9090",
"fax_number": "251-380-1015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE UROLOGY GROUP, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-13",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "FLECK",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "251-343-9090",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC JURISDICTION C",
"identifier": "0635230001",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.