NPIMap

Organization Active NPI

Pensacola Primary Care, Inc.

Doing business as dba Pensacola Primary Care, Inc.-McKenzie

  • Pediatrics Physician
  • Foley, AL
National Provider Identifier
1164411633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PENSACOLA PRIMARY CARE, INC.
Doing business as
dba Pensacola Primary Care, Inc.-McKenzie
Practice address
1628 N McKenzie St
Foley, AL 36535-2248
Phone
(251) 943-7901
Fax
(251) 943-4873
NPI assigned
Oct 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Birmingham
Title
Director
Phone
(615) 373-7625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1628 N McKenzie St
Foley, AL 36535-2248

Mailing address

1628 N McKenzie St
Foley, AL 36535-2248
Phone (251) 943-7901

Other names 1

  • dba Pensacola Primary Care, Inc.-McKenzie Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pensacola Primary Care Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2360 S Highway 29
Cantonment, FL 32533
Phone (850) 494-6003

320 Racetrack Rd NW
Ste 100A
Fort Walton Beach, FL 32547
Phone (850) 315-8360

4267 Woodbine Rd
Pace, FL 32571
Phone (850) 994-1288

2130 E Johnson Ave
Ste 120
Pensacola, FL 32514
Phone (850) 332-6339

6575 N W St
Pensacola, FL 32505
Phone (850) 471-6425

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164411633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-943-7901",
            "fax_number": "251-943-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-943-7901",
            "fax_number": "251-943-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-373-7625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Pensacola Primary Care, Inc.-McKenzie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.