BHC-Princeton Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BHC-PRINCETON MEDICAL ASSOCIATES

Practice address

833 Princeton Ave SW
Pob III; Suite 200B
Birmingham, AL 35211-1323

Phone

(205) 781-3752

Fax

(205) 788-6551

NPI assigned

Nov 21, 2007

Organization subpart

Yes

Parent organization

BAPTIST HEALTH CENTERS, INC.As reported in NPPES

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

Authorized official

Name

George Scott Fenn

Title

President - Chief Integration Offic

Phone

(205) 715-5415

Specialties & licenses 1

Addresses

Part of

Baptist Health Centers LLC

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1295916955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 4TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352221723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 PRINCETON AVE SW",
            "address_2": "POB III; SUITE 200B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111323",
            "telephone_number": "205-781-3752",
            "fax_number": "205-788-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC-PRINCETON MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC.",
        "enumeration_date": "2007-11-21",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT - CHIEF INTEGRATION OFFIC",
        "authorized_official_telephone_number": "205-715-5415"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.