Organization Active NPI

Alabama Orthopaedic Sports Medicine LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Daphne, AL
National Provider Identifier
1174960926
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
21607 Issued in AL
Legal business name
ALABAMA ORTHOPAEDIC SPORTS MEDICINE LLC
Practice address
6401 Jordan Rd
Suite a
Daphne, AL 36526-4728
Phone
(251) 491-2676
Fax
(251) 491-2685
NPI assigned
Jun 3, 2013
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Dr. Daniel E Matthews, MDNPI 1225036569
Title
Sole Member
Phone
(251) 491-2676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 21607 AL Primary

Addresses

Primary practice location

6401 Jordan Rd
Suite a
Daphne, AL 36526-4728

Mailing address

6401 Jordan Rd Ste a
Daphne, AL 36526-4771
Phone (251) 491-2676

Other identifiers 2

IdentifierTypeStateIssuer
149441MedicaidAL
DU0298OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130702000836 AL Part B Supplier - Clinic/Group Practice 9032359674 Receives reassigned benefits from 2 practitioners
Practice locations: Daphne, AL
O20130919000092 AL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9032359674 Practice locations: Daphne, AL

National Provider Directory

National Provider Directory

Locations

27961 US Highway 98
Ste 17
Daphne, AL 36526
Phone (251) 491-2676

6401 Jordan Rd
Ste A
Daphne, AL 36526
Phone (251) 491-2676

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1174960926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 JORDAN RD STE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264771",
            "telephone_number": "251-491-2676",
            "fax_number": "251-491-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 JORDAN RD",
            "address_2": "SUITE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264728",
            "telephone_number": "251-491-2676",
            "fax_number": "251-491-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA ORTHOPAEDIC SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "251-491-2676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "21607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149441",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DU0298",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.