Organization Active NPI

Bernard Scott

  • Optometrist
  • Bay Minette, AL
National Provider Identifier
1265603484
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-844-TA-357 Issued in AL
Legal business name
BERNARD SCOTT
Practice address
1811 Hand Ave
Bay Minette, AL 36507-4110
Phone
(251) 937-7631
NPI assigned
Mar 15, 2008
Last updated
Aug 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Kimberly Dunagan, O.D.NPI 1699890160
Title
Partner
Phone
(251) 937-7631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-844-TA-357 AL Primary

Addresses

Primary practice location

1811 Hand Ave
Bay Minette, AL 36507-4110

Mailing address

1811 Hand Ave
Bay Minette, AL 36507-4110
Phone (251) 937-7631

Other identifiers 2

IdentifierTypeStateIssuer
051551836MedicaidAL
529914540MedicaidAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1205539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1265603484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074110",
            "telephone_number": "251-937-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074110",
            "telephone_number": "251-937-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD SCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-15",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "DUNAGAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "251-937-7631",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-844-TA-357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051551836",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529914540",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.