The Bethesda Life Center, Inc.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

1020764 Issued in AL

Legal business name

THE BETHESDA LIFE CENTER, INC.

Practice address

321 19TH Street Ensley
Birmingham, AL 35218-1642

Phone

(205) 788-2200

Fax

(205) 788-2201

NPI assigned

Apr 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Bettina Byrd-Giles

Title

Coo

Phone

(205) 788-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1366565194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8348",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352180348",
            "telephone_number": "205-788-2200",
            "fax_number": "205-788-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 19TH STREET ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352181642",
            "telephone_number": "205-788-2200",
            "fax_number": "205-788-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BETHESDA LIFE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "BYRD-GILES",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "205-788-2200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AL",
            "license": "1020764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110037",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Thannickal
• Landen Marshall Tharp
• Emily F Thayer
• Grace O'Malley Thayer, MD
• The Arc of Central Alabama Inc
• The Breast and Wellness Collective LLC
• The Breast and Wellness Collective PC
• The Bridge Room Inc
• The Butterfly Effect Therapy & Wellness
• The Buzz Counseling and Consulting LLC

• Hospice and Palliative Medicine (Family Medicine) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.