Organization Active NPI

Selma Women'S Health, LLC

  • Specialist
  • Selma, AL
National Provider Identifier
1245520063
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD.30813 Issued in AL
Legal business name
SELMA WOMEN'S HEALTH, LLC
Practice address
203 Vaughan Memorial Dr
Selma, AL 36701-6950
Phone
(334) 874-3633
Fax
(334) 875-4331
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Dr. Brent Whiddon, MDNPI 1235339342
Title
Owner/Medical Doctor
Phone
(334) 874-3633

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD.30813 AL Primary

Addresses

Primary practice location

203 Vaughan Memorial Dr
Selma, AL 36701-6950

Mailing address

203 Vaughan Memorial Dr
Selma, AL 36701-6950
Phone (334) 874-3633

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1245520063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 VAUGHAN MEMORIAL DR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016950",
            "telephone_number": "334-874-3633",
            "fax_number": "334-875-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 VAUGHAN MEMORIAL DR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016950",
            "telephone_number": "334-874-3633",
            "fax_number": "334-875-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA WOMEN'S HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "WHIDDON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "334-874-3633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "MD.30813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.