NPIMap

Organization Active NPI

Bernard William Simieritsch

Doing business as Winston County Medical Clinic

  • Family Medicine Physician
  • Double Springs, AL
National Provider Identifier
1346233640
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BERNARD WILLIAM SIMIERITSCH
Doing business as
Winston County Medical Clinic
Practice address
15341 Highway 278
Double Springs, AL 35553-2407
Phone
(205) 489-3322
Fax
(205) 489-3325
NPI assigned
Aug 23, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bernard William Simieritsch, MDNPI 1821080565
Title
Owner
Phone
(205) 489-3322

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
Family Medicine Physician 207Q00000X AL Primary

Addresses

Primary practice location

15341 Highway 278
Double Springs, AL 35553-2407

Mailing address

15341 Highway 278
Double Springs, AL 35553-2407
Phone (205) 489-3322

Other identifiers 2

IdentifierTypeStateIssuer
051550393MedicaidAZ
541003924MedicaidAL

Other names 1

  • Winston County Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bernard William Simieritsch2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

15341 Highway 278
Double Springs, AL 35553
Phone (205) 489-3322

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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346233640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15341 HIGHWAY 278",
            "city": "DOUBLE SPRINGS",
            "state": "AL",
            "postal_code": "355532407",
            "telephone_number": "205-489-3322",
            "fax_number": "205-489-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15341 HIGHWAY 278",
            "city": "DOUBLE SPRINGS",
            "state": "AL",
            "postal_code": "355532407",
            "telephone_number": "205-489-3322",
            "fax_number": "205-489-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD WILLIAM SIMIERITSCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMIERITSCH",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-489-3322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550393",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003924",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Double Springs, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.