Orange Beach Family Medicine, PC

Organization Active NPI Family Medicine Physician · Orange Beach, AL

NPI 1346974060 · NPPES record last updated Jul 11, 2022

Key facts

NPI
1346974060
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ORANGE BEACH FAMILY MEDICINE, PC
Practice address
27121 Canal Rd
Orange Beach, AL 36561-3982
Phone
(731) 415-2020
NPI assigned
Jul 11, 2022
Organization subpart
No

Authorized official

Name
Ryan Forbess, MD
Title
Physician
Phone
(731) 415-2020

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220920002838 AL Part B Supplier - Clinic/Group Practice 0840675369 Receives reassigned benefits from 3 practitioners
Practice locations: Orange Beach, AL

National Provider Directory

Locations

27121 Canal Rd
Ste 101
Orange Beach, AL 36561

27121 Canal Rd
Orange Beach, AL 36561
Phone (251) 424-1600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

27121 Canal Rd
Orange Beach, AL 36561-3982

Mailing address

3280 Dauphin St BLDG a
Mobile, AL 36606-4060

Other providers in Orange Beach, AL

All providers in Orange Beach, AL · Family Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.