Active NPI
Stoney Brook Emergency Physicians, PLLC
- Emergency Medicine Physician
- Jacksonville, AL
National Provider Identifier
1235575622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- STONEY BROOK EMERGENCY PHYSICIANS, PLLC
- Practice address
- 1701 Pelham Rd S
Jacksonville, AL 36265-3369 - Phone
- (256) 435-4970
- NPI assigned
- May 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark E Green, MD
- Title
- President
- Phone
- (931) 249-0655
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1701 Pelham Rd S
Jacksonville, AL 36265-3369
Mailing address
PO Box 31747
Clarksville, TN 37040-0030
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Clarksville, TN
- NPI 1831138916
-
- Emergency Medicine Physician
- Haleyville, AL
- NPI 1760422034
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1760443360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368403200000",
"number": "1235575622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31747",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370400030",
"fax_number": "205-313-5245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 PELHAM RD S",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362653369",
"telephone_number": "256-435-4970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONEY BROOK EMERGENCY PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-13",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "931-249-0655",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.