Active NPI
David Reynolds Longmire, MD
- Neurology Physician
- Russellville, AL
National Provider Identifier
1316975527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 11485
- Practice address
- 13150 Hwy 43
Russellville, AL 35653 - Phone
- (256) 332-3633
- Fax
- (256) 332-6684
- NPI assigned
- Jun 28, 2006
- Last updated
- Mar 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 00011485 | AL | |
| Neurology Physician | 2084N0400X | 11485 | AL | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | 11485 | AL |
Addresses
Primary practice location
13150 Hwy 43
Russellville, AL 35653
Mailing address
13150 Hwy 43
Suite 14
Russellville, AL 35653-4565
Phone (256) 332-3633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11485 | AL | MD | Pharmacist |
| 00011485 | AL | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Physician Practices LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lakeland Family Practice
- Family Medicine Physician
- Haleyville, AL
- NPI 1679913784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1316975527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13150 HWY 43",
"address_2": "SUITE 14",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356534565",
"telephone_number": "256-332-3633",
"fax_number": "256-332-6684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13150 HWY 43",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "35653",
"telephone_number": "256-332-3633",
"fax_number": "256-332-6684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGMIRE",
"first_name": "DAVID",
"middle_name": "REYNOLDS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "AL",
"license": "00011485",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "11485",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "AL",
"license": "11485",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.