Edith Gubler McCreadie, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23369 Issued in AL

Legal business name

EDITH GUBLER MCCREADIE, MD, LLC

Practice address

1155 Hillcrest Rd
BLDG B
Mobile, AL 36695-3921

Phone

(251) 776-6755

Fax

(251) 776-6854

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edith Gubler McCreadie, MDNPI 1245333285

Title

Owner

Phone

(251) 776-6755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edith Gubler McCreadie, M.D.

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1245333285
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174672976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 HILLCREST RD",
            "address_2": "BLDG B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953921",
            "telephone_number": "251-776-6755",
            "fax_number": "251-776-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 HILLCREST RD",
            "address_2": "BLDG B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953921",
            "telephone_number": "251-776-6755",
            "fax_number": "251-776-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITH GUBLER MCCREADIE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCREADIE",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "GUBLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-776-6755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalton Bryce Eddington
• Joshua Kenneth Edgerton, M.D.
• Gabriella Regina Edington, MD
• Vinod Rishi Edirisinghe, M.D.
• Priscilla Edison, LICENSED COSMETOL0GI
• Justin R Edmondson
• Amar M. Edwards, LPN
• Cherease Shanta Edwards
• Cya Edwards
• Dentrice Edwards

• Family Medicine Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Medicine Physician in Alabama

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.