Organization Active NPI

Neurology Consultants of Central Alabama

  • Specialist
  • Selma, AL
National Provider Identifier
1336289289
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18755 Issued in AL
Legal business name
NEUROLOGY CONSULTANTS OF CENTRAL ALABAMA
Practice address
217 Broad St
Selma, AL 36701-4589
Phone
(334) 872-8627
Fax
(334) 872-8629
NPI assigned
Feb 8, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Walid Wajih Freij, M.D.NPI 1861586034
Title
Owner
Phone
(334) 872-8627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18755 AL Primary

Addresses

Primary practice location

217 Broad St
Selma, AL 36701-4589

Mailing address

217 Broad St
Selma, AL 36701-4589
Phone (334) 872-8627

Other identifiers 1

IdentifierTypeStateIssuer
529702780MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051128000682 AL Part B Supplier - Clinic/Group Practice 9638199227 Receives reassigned benefits from 1 practitioner
Practice locations: Selma, AL

National Provider Directory

National Provider Directory

Locations

1013 Medical Center Pkwy
Bldg Iii
Selma, AL 36701
Phone (334) 872-8627

217 Broad St
Selma, AL 36701
Phone (334) 872-8627

217 Broad St
Fl 2
Selma, AL 36701
Phone (334) 872-8627

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1336289289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014589",
            "telephone_number": "334-872-8627",
            "fax_number": "334-872-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014589",
            "telephone_number": "334-872-8627",
            "fax_number": "334-872-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CONSULTANTS OF CENTRAL ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "FREIJ",
        "authorized_official_first_name": "WALID",
        "authorized_official_middle_name": "WAJIH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-872-8627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "18755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529702780",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.