Severin Grenoble MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD30944 Issued in AL

Legal business name

SEVERIN GRENOBLE MD PC

Practice address

3929 Airport Blvd Ste 1-206
Mobile, AL 36609-2233

Phone

(251) 317-4040

NPI assigned

Jun 16, 2016

Organization subpart

No

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

Authorized official

Name

Severin Grenoble, MD

Title

Owner

Phone

(251) 317-4040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306296728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 1-206",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092233",
            "telephone_number": "251-317-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 1-206",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092233",
            "telephone_number": "251-317-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERIN GRENOBLE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRENOBLE",
        "authorized_official_first_name": "SEVERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-317-4040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD30944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seton Medical Managment- the Cancer Center at Providence Park
• Seton Medical Mandagement
• Heather Pope Setterstrom, CRNP
• Alicia Settle, CRNP
• Roger M. Setzler, MD
• Miriam Maite Sevilla Saez-Benito, M.D.
• Angela Diane Sewel
• Shalonda Jeanine Sewell, MS
• James A Sexson, M.D.
• Jourdan Leigh Sexton

• Psychiatry Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.