NPIMap

Organization Active NPI

West Alabama Physician Associates, LLC

Doing business as West Alabama Urology Associates

  • Urology Physician
  • Tuscaloosa, AL
National Provider Identifier
1316101769
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
WEST ALABAMA PHYSICIAN ASSOCIATES, LLC
Doing business as
West Alabama Urology Associates
Practice address
701 University Blvd E
Suite 908
Tuscaloosa, AL 35401-7423
Phone
(205) 344-9393
Fax
(205) 758-6750
NPI assigned
Jul 15, 2008
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Mr. Daniel Clay Conville
Title
Corp Director, Physician Services
Phone
(205) 759-6165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AL
Urology Physician 208800000X Primary

Addresses

Primary practice location

701 University Blvd E
Suite 908
Tuscaloosa, AL 35401-7423

Mailing address

701 University Blvd E
Suite 908
Tuscaloosa, AL 35401-7423
Phone (205) 344-9393

Other identifiers 2

IdentifierTypeStateIssuer
103891MedicaidAL
D03406OtherALMEDICARE RAILROAD

Other names 1

  • West Alabama Urology Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000595 AL Part B Supplier - Clinic/Group Practice 3476620311 Receives reassigned benefits from 43 practitioners
10 other NPIs on this enrollment
Practice locations: Fayette, AL; Tuscaloosa, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

701 University Blvd E
Ste 908
Tuscaloosa, AL 35401
Phone (205) 344-9393

Practitioners & affiliated clinicians

Practitioners 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1316101769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 908",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017423",
            "telephone_number": "205-344-9393",
            "fax_number": "205-758-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 908",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017423",
            "telephone_number": "205-344-9393",
            "fax_number": "205-758-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALABAMA PHYSICIAN ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "CONVILLE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "CORP DIRECTOR, PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "205-759-6165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103891",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "D03406",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Alabama Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.