Organization Active NPI

BHC - Gardendale

Doing business as BBH PCN Gardendale

  • Family Medicine Physician
  • Gardendale, AL
National Provider Identifier
1245294339
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST HEALTH CENTERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

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.

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

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.

Verify at the official NPI Registry.