Vestavia Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VESTAVIA MEDICAL SUPPLY LLC

Practice address

1025 Montgomery Hwy Ste 109
Vestavia Hills, AL 35216-2856

Phone

(205) 847-0741

NPI assigned

Jul 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Glenn Spurlock, DCNPI 1316051113

Title

Owner

Phone

(205) 847-0741

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Thomas Glenn Spurlock, D.C.

  • Chiropractor
  • Vestavia, AL
  • NPI 1316051113
  NPD Authorized official

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1215580964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MONTGOMERY HWY STE 109",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MONTGOMERY HWY STE 109",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162856",
            "telephone_number": "205-847-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTAVIA MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "SPURLOCK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-847-0741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verge Physical Therapy & Wellness LLC
• Vestavia Diagnostic Center LLC
• Vestavia Eye Care, P.C.
• Vestavia Hills City
• Vestavia Hills Imaging Center
• Vestavia Spine and Rehabilitation Center LLC
• Tracy Darryl Vinson, RPH
• Haley Donahue Vise, LICSW
• Vulcan Audiology
• Sallie Waite

• All providers in Vestavia Hills, AL
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.