BHC - Gardendale
Organization Active NPI Family Medicine Physician · Gardendale, AL
NPI 1245294339 · NPPES record last updated Aug 29, 2016
Key facts
- NPI
- 1245294339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BHC - GARDENDALE
- Practice address
- 758 Main St
Gardendale, AL 35071-2696 - Phone
- (205) 631-5521
- Fax
- (205) 631-5540
- NPI assigned
- Apr 14, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BAPTIST HEALTH CENTERS, INC
Authorized official
- Name
- Valeta D Neal
- Title
- President
- Phone
- (205) 715-5901
Member of 1
Practitioners 1
-
Sharon D. Gray, M.D.
National Provider Directory
- Part of
- Baptist Health Centers LLC
Locations
924 Fulton Ave SW
Birmingham, AL 35211
Phone (205) 786-0315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529402550 | Medicaid | AL |
Other names
- BBH PCN Gardendale
Other providers in Gardendale, AL
- Judy Lane Batson
- Josie Bennett Bensko
- Kennedy Benson
- Cody J Berguson
- Elaine Susan Liaw Bevel
- John Michael Bienvenu
- Kylie Billups
- Bio-Medical Applications of Alabama Inc
- Bio-Medical Applications of Alabama, Inc.
- Wanda Bledsoe
All providers in Gardendale, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.