NPIMap

Organization Active NPI

Baptist Health Centers, LLC

Doing business as BBH Primary and Specialty Care Network

  • Obstetrics & Gynecology Physician
  • Talladega, AL
National Provider Identifier
1285808584
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BAPTIST HEALTH CENTERS, LLC
Doing business as
BBH Primary and Specialty Care Network
Practice address
724 Stone Ave
Talladega, AL 35160-2219
Phone
(256) 362-1410
Fax
(256) 362-0186
NPI assigned
Apr 17, 2008
Last updated
Jan 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Robin Jackson
Title
Credentialing Manager
Phone
(205) 715-5943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

724 Stone Ave
Talladega, AL 35160-2219

Mailing address

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2870
Phone (205) 715-5943

Other identifiers 1

IdentifierTypeStateIssuer
166700MedicaidAL

Other names 1

  • BBH Primary and Specialty Care Network Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180124001442 AL Part B Supplier - Clinic/Group Practice 3476457011 Receives reassigned benefits from 449 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 40

Organizations listed as members of this organization in the National Provider Directory.

View all 40

Locations

2000 Crestwood Blvd
Ste 200
Irondale, AL 35210
Phone (205) 592-1406

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1285808584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 22ND ST S",
            "address_2": "SUITE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052870",
            "telephone_number": "205-715-5943",
            "fax_number": "205-715-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 STONE AVE",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602219",
            "telephone_number": "256-362-1410",
            "fax_number": "256-362-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "205-715-5943"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166700",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BBH Primary and Specialty Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Talladega, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.