Organization Active NPI

Aderholt Enterprise

  • General Practice Physician
  • Athens, AL
National Provider Identifier
1326950254
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ADERHOLT ENTERPRISE
Practice address
108 Shady LN
Athens, AL 35613-2014
Phone
(256) 777-1278
NPI assigned
Sep 17, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Mr. Brady Aderholt, CRNP
Title
Owner
Phone
(256) 777-1278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

108 Shady LN
Athens, AL 35613-2014

Mailing address

108 Shady LN
Athens, AL 35613-2014
Phone (256) 777-1278

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1326950254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SHADY LN",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132014",
            "telephone_number": "256-777-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SHADY LN",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132014",
            "telephone_number": "256-777-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADERHOLT ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "ADERHOLT",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-777-1278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.