Active NPI
BHC - Gardendale
Doing business as BBH PCN Gardendale
- Family Medicine Physician
- Gardendale, AL
National Provider Identifier
1245294339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BHC - GARDENDALE
- Doing business as
- BBH PCN Gardendale
- Practice address
- 758 Main St
Gardendale, AL 35071-2696 - Phone
- (205) 631-5521
- Fax
- (205) 631-5540
- NPI assigned
- Apr 14, 2006
- Last updated
- Aug 29, 2016
- Organization subpart
- Yes
- Parent organization
- BAPTIST HEALTH CENTERS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valeta D Neal
- Title
- President
- Phone
- (205) 715-5901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
758 Main St
Gardendale, AL 35071-2696
Mailing address
758 Main St
Gardendale, AL 35071-2696
Phone (205) 631-5521
Other names 1
- BBH PCN Gardendale
National Provider Directory
National Provider Directory- Part of
- Baptist Health Centers LLC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Baptist Health Medical Group
- Internal Medicine Physician
- Talladega, AL
- NPI 1861456923
Member Of
Locations
924 Fulton Ave SW
Birmingham, AL 35211
Phone (205) 786-0315
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.
-
- Family Medicine Physician
- Gardendale, AL
- NPI 1952414781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472428800000",
"number": "1245294339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "758 MAIN ST",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712696",
"telephone_number": "205-631-5521",
"fax_number": "205-631-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 MAIN ST",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712696",
"telephone_number": "205-631-5521",
"fax_number": "205-631-5540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHC - GARDENDALE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC",
"enumeration_date": "2006-04-14",
"last_updated": "2016-08-29",
"status": "A",
"authorized_official_last_name": "NEAL",
"authorized_official_first_name": "VALETA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-715-5901"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BBH PCN Gardendale",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gardendale, AL
- Judy Lane Batson
- Josie Bennett Bensko, PHARMD
- Kennedy Benson
- Cody J Berguson, RPH
- Elaine Susan Liaw Bevel, PT, DPT
- John Michael Bienvenu
- Kylie Billups, DPT
- Bio-Medical Applications of Alabama Inc (Gardendale Dialysis Facility)
- Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care of Gardendale)
- Wanda Bledsoe
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.