Individual provider Active NPI

Pink Lowe Folmar, MD

  • Internal Medicine Physician
  • Brundidge, AL
National Provider Identifier
1174544332
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00006320 Issued in AL
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

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0401804OtherUNITED HEALTHCARE
P00280166OtherRR MEDICARE
009932862MedicaidAL
P00280166OtherALRR MEDICARE
8523OtherHUMANA
051528523OtherBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000146 AL Practitioner - Internal Medicine 5294761904 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00006320ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Help 280 LLC CurrentSince Sep 1, 2010 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.

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

Verify at the official NPI Registry.