NPIMap

Organization Active NPI

Imc Foley Medical Clinic, PC

  • Family Medicine Physician
  • Foley, AL
National Provider Identifier
1285056143
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IMC FOLEY MEDICAL CLINIC, PC
Practice address
1450 N McKenzie St
Foley, AL 36535-2234
Phone
(251) 435-5737
NPI assigned
Jan 13, 2014
Last updated
Jan 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Mr. Boyd Pugh
Title
Director
Phone
(251) 435-5737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1450 N McKenzie St
Foley, AL 36535-2234

Mailing address

1450 N McKenzie St
Foley, AL 36535-2234
Phone (251) 435-5737

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1285056143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352234",
            "telephone_number": "251-435-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352234",
            "telephone_number": "251-435-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC FOLEY MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "BOYD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "251-435-5737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.