NPIMap

Organization Active NPI

Michael Alan Grossman MD PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Valley, AL
National Provider Identifier
1184998700
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD7925 Issued in AL
Legal business name
MICHAEL ALAN GROSSMAN MD PC
Practice address
4505 20TH Ave
Valley, AL 36854-3542
Phone
(334) 756-9604
Fax
(334) 756-9606
NPI assigned
Feb 29, 2012
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Michael Alan Grossman, MDNPI 1245239102
Title
Physician
Phone
(334) 756-9604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD7925 AL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35434 GA

Addresses

Primary practice location

4505 20TH Ave
Valley, AL 36854-3542

Mailing address

4505 20TH Ave
Valley, AL 36854-3542
Phone (334) 756-9604

Other identifiers 3

IdentifierTypeStateIssuer
000181145EOtherGAMEDICAID
009929055MedicaidAL
51007808OtherALBCBSAL

National Provider Directory

National Provider Directory

Locations

4505 20th Ave
Valley, AL 36854
Phone (334) 756-9604

Practitioners & affiliated clinicians

Practitioners 1

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": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1184998700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 20TH AVE",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543542",
            "telephone_number": "334-756-9604",
            "fax_number": "334-756-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 20TH AVE",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543542",
            "telephone_number": "334-756-9604",
            "fax_number": "334-756-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ALAN GROSSMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-756-9604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AL",
            "license": "MD7925",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "35434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "000181145E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009929055",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "51007808",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.