Individual provider Active NPI

Bardya Mostafavi Naeini

  • Family Medicine Physician
  • Florence, AL
National Provider Identifier
1346597804
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.33091 Issued in AL
Practice address
2107 Cloyd Blvd
Florence, AL 35630-1503
Phone
(773) 242-3464
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.33091 AL Primary

Addresses

Primary practice location

2107 Cloyd Blvd
Florence, AL 35630-1503

Mailing address

PO Box 161
Florence, AL 35631-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708002077 AL Practitioner - Family Practice 7012132947 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alignmed Partners PCGroup PAC ID 9739447400, 34 clinicians
Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians
Shoals Family ClinicGroup PAC ID 3375908064, 4 clinicians

Practice addresses (Care Compare)

1350 14TH Ave SE
Decatur, AL 35601-4364
Phone (256) 355-6911

15225 Hwy 43
Suite I
Russellville, AL 35653-1969
Phone (256) 331-2700

200 Alabama Ave
Muscle Shoals, AL 35661-3102
Phone (256) 381-4330

2415 B Avalon Ave
Muscle Shoals, AL 35661-3163
Phone (256) 678-8892

Hospital & facility affiliations

  • Preferred Home Health Home health agency, Florence, AL, CCN 017177
  • Amedisys Home Health of Florence Home health agency, Florence, AL, CCN 017165
  • Aveanna Hospice of Decatur Hospice, Decatur, AL, CCN 011654
  • Hospice of North Alabama, LLC Hospice, Huntsville, AL, CCN 011622
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157
  • Red Bay Hospital Hospital, Red Bay, AL, CCN 011302
  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
  • Florence Nursing and Rehabilitation Ctr, LLC Nursing home, Florence, AL, CCN 015169
  • Cypress Cove Care Center Nursing home, Muscle Shoals, AL, CCN 015392
  • Mitchell-Hollingsworth Nursing & Rehabilitation Nursing home, Florence, AL, CCN 015031
  • RedBay Nursing and Rehab Center Nursing home, Red Bay, AL, CCN 015201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.33091ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Apr 1, 2016 Accepting new patients
Boyde J Harrison MD PC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Russellville Hospital Inc Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Apr 1, 2016 Accepting new patients
Alignmed Medical Group, PC CurrentSince Aug 24, 2024 Accepting new patients
Emergency Services of Mobile PC CurrentSince Mar 11, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Northwest Alabama Emergency Medicine LLC CurrentSince Dec 20, 2017 Accepting new patients
Russellville Hospital Inc Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Mitchell-Hollingsworth Nursing & Rehab Center Past Accepting new patients
NWMC Winfield Physician Practices LLC Family Medicine Past Accepting new patients
Florence Nursing and Rehabilitation Center, LLC Past Accepting new patients
Sunbridge Healthcare LLC Past Accepting new patients
Generations of Red Bay, LLC Past Accepting new patients

Locations

1350 14th Ave SE
Decatur, AL 35601
Phone (256) 355-6911

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

420 Dean Dr
Gardendale, AL 35071
Phone (205) 631-8700

904 26th St
Haleyville, AL 35565
Phone (205) 486-5234

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

200 S Alabama St
Muscle Shoals, AL 35661
Phone (256) 381-4330

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

500 John Aldridge Dr
Tuscumbia, AL 35674
Phone (256) 373-4541

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cypress Cove CenterMuscle Shoals, AL, CCN 015392 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2024
Apr 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1346597804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356310161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 CLOYD BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301503",
            "telephone_number": "773-242-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAFAVI NAEINI",
        "first_name": "BARDYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.33091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.