Organization Active NPI

Huntsville Reproductive Medicine, P.C.

  • Reproductive Endocrinology Physician
  • Huntsville, AL
National Provider Identifier
1184773749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
25020 Issued in AL
Legal business name
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C.
Practice address
185 Chateau Dr SW
Suite 301
Huntsville, AL 35801-7416
Phone
(256) 213-2229
Fax
(256) 213-9978
NPI assigned
Jan 10, 2007
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. Douglas Heidel
Title
Business Manager
Phone
(256) 213-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X 25020 AL Primary

Addresses

Primary practice location

185 Chateau Dr SW
Suite 301
Huntsville, AL 35801-7416

Mailing address

185 Chateau Dr SW
Suite 301
Huntsville, AL 35801-7416
Phone (256) 213-2229

Other identifiers 2

IdentifierTypeStateIssuer
51514511OtherALBLUE CROSS BLUE SHIELD OF
7949282OtherALAETNA

National Provider Directory

National Provider Directory

Locations

185 Chateau Dr SW
Ste 301
Huntsville, AL 35801
Phone (205) 533-4402

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184773749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CHATEAU DR SW",
            "address_2": "SUITE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017416",
            "telephone_number": "256-213-2229",
            "fax_number": "256-213-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CHATEAU DR SW",
            "address_2": "SUITE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017416",
            "telephone_number": "256-213-2229",
            "fax_number": "256-213-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE REPRODUCTIVE MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIDEL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "256-213-2229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AL",
            "license": "25020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "51514511",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7949282",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, 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.