BHC-Dekalb

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BHC-DEKALB

Practice address

200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102

Phone

(205) 715-5910

Fax

(205) 715-5928

NPI assigned

Mar 9, 2007

Last updated

Oct 10, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

BAPTIST HEALTH CENTERS, INCAs reported in NPPES

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

Authorized official

Name

Charles A Faulkner

Title

President

Phone

(205) 715-5901

Specialties & licenses 3

Addresses

Part of

Baptist Health Centers LLC

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1245361120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MEDICAL CENTER DR SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683421",
            "telephone_number": "256-997-2820",
            "fax_number": "256-997-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEACON PKWY W",
            "address_2": "SUITE 330",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093102",
            "telephone_number": "205-715-5910",
            "fax_number": "205-715-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC-DEKALB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-715-5901"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.