Integrated Medical Group, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

INTEGRATED MEDICAL GROUP, LLC

Practice address

975 9TH Ave SW Ste 200
Bessemer, AL 35022-7839

Phone

(205) 519-4201

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Lowell Bragg, DCNPI 1487759056

Title

Owner

Phone

(205) 519-4201

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lowell William Bragg, D.C.

  • Chiropractor
  • Birmingham, AL
  • NPI 1487759056
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1306469978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 9TH AVE SW STE 200",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 9TH AVE SW STE 200",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227839",
            "telephone_number": "205-519-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-519-4201",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS /BLUE SHIELD OF ALABAMA",
            "identifier": "512-26348",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bessemer",
            "affiliation": "N",
            "address_1": "975 9th Ave SW Ste 230",
            "city": "Bessemer",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350227839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chigozie Adaora Ifedili
• Infinity Diagnostics Services
• Infinity Health & Wellness Spa, LLC
• Infuse First Health Care, PC
• Injury Specialists of Birmingham, LLC.
• Iron & Ivy Youth Access Fund
• Courtney Issis-Banuelos, CRNP
• John Odeh Issis, M.D.
• J.R. Moore & Associates LLC
• Garrett Jackson, DO

• Multi-Specialty Clinic/Center in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Multi-Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.