Organization Active NPI

Cullman Urology, P C

  • Urology Physician
  • Cullman, AL
National Provider Identifier
1275595183
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CULLMAN UROLOGY, P C
Practice address
1848 Parkland Drive NE
Cullman, AL 35058
Phone
(256) 739-2885
Fax
(256) 739-2898
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Ms. Denise Gilley
Title
Office Manager
Phone
(256) 739-2885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1848 Parkland Drive NE
Cullman, AL 35058

Mailing address

1848 Parkland Drive NE
Cullman, AL 35058
Phone (256) 739-2885

Other identifiers 2

IdentifierTypeStateIssuer
529302990MedicaidAL
D472OtherALBC-BS OF ALABAMA GROUP #

National Provider Directory

National Provider Directory

Locations

1912 Cherokee Ave SW
Ste 1100
Cullman, AL 35055
Phone (256) 739-2885

1948 AL Highway 157
Ste 450
Cullman, AL 35058
Phone (256) 735-5075

150 Gilbreath Dr
Ste 101
Oneonta, AL 35121
Phone (205) 274-3344

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1275595183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 PARKLAND DRIVE NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35058",
            "telephone_number": "256-739-2885",
            "fax_number": "256-739-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 PARKLAND DRIVE NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35058",
            "telephone_number": "256-739-2885",
            "fax_number": "256-739-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN UROLOGY, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "GILLEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-739-2885",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529302990",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS OF ALABAMA GROUP #",
            "identifier": "D472",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.