Active NPI
Pink Lowe Folmar, MD
- Internal Medicine Physician
- Brundidge, AL
National Provider Identifier
1174544332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00006320
- Practice address
- 664 Veterans Blvd.
Brundidge, AL 36010-1339 - Phone
- (334) 735-0116
- Fax
- (334) 735-0118
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00006320 | AL | Primary |
Addresses
Primary practice location
664 Veterans Blvd.
Brundidge, AL 36010-1339
Mailing address
664 Veterans Blvd.
Brundidge, AL 36010-1339
Phone (334) 735-0116
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0401804 | Other | UNITED HEALTHCARE | |
| P00280166 | Other | RR MEDICARE | |
| 009932862 | Medicaid | AL | |
| P00280166 | Other | AL | RR MEDICARE |
| 8523 | Other | HUMANA | |
| 051528523 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00006320 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Help 280 LLC | Current | Accepting new patients |
Locations
1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996
4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1174681654
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1083772560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1174544332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 VETERANS BLVD.",
"city": "BRUNDIDGE",
"state": "AL",
"postal_code": "360101339",
"telephone_number": "334-735-0116",
"fax_number": "334-735-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 VETERANS BLVD.",
"city": "BRUNDIDGE",
"state": "AL",
"postal_code": "360101339",
"telephone_number": "334-735-0116",
"fax_number": "334-735-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLMAR",
"first_name": "PINK",
"middle_name": "LOWE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "00006320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0401804",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00280166",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009932862",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00280166",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "8523",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051528523",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brundidge, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.