Organization Active NPI

Mobile Urology Group, P.a.

  • Specialist
  • Mobile, AL
National Provider Identifier
1164407151
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Jan 28, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0635230001OtherALDMERC JURISDICTION C

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.