NPIMap

Organization Active NPI

Complete Vitality LLC

  • Chiropractor
  • Foley, AL
National Provider Identifier
1306707229
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COMPLETE VITALITY LLC
Practice address
21040 Miflin Road
Ste 6
Foley, AL 36535-9297
Phone
(205) 561-6010
Fax
(855) 975-3042
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mr. Brent A. Tidwell, DC
Title
Managing Partner
Phone
(205) 752-7503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

21040 Miflin Road
Ste 6
Foley, AL 36535-9297

Mailing address

819 Mimosa Park Road
Ste D
Tuscaloosa, AL 35405-4839
Phone (205) 561-6010

Other names 1

  • VMED Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Complete Vitality LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1306707229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MIMOSA PARK ROAD",
            "address_2": "STE D",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054839",
            "telephone_number": "205-561-6010",
            "fax_number": "855-975-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21040 MIFLIN ROAD",
            "address_2": "STE 6",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365359297",
            "telephone_number": "205-561-6010",
            "fax_number": "855-975-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VITALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "205-752-7503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 2025; 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.