The Adult Medical Specialist, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

12216 Issued in AL

Legal business name

THE ADULT MEDICAL SPECIALIST, PC

Practice address

81 Market PL
Montgomery, AL 36117-4908

Phone

(334) 277-6645

Fax

(334) 277-8985

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Roger Dale Glymph, MD

Title

Physician/Owner

Phone

(334) 277-6645

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1366794208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MARKET PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174908",
            "telephone_number": "334-277-6645",
            "fax_number": "334-277-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MARKET PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174908",
            "telephone_number": "334-277-6645",
            "fax_number": "334-277-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ADULT MEDICAL SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "GLYMPH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "334-277-6645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "12216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecelia G Tew, CNM
• Lauren Rae Thackerson, PHARMD
• Zakiya Thagard
• Bobbie-Ann Schoffstall Thames, O.T., C.H.T
• Paul Thanel, MD
• The B.R.I.D.G.E Counseling Center, LLC
• The Best Care Home Agency LLC
• The Branches Home Care, LLC (HomeWell Care Services)
• The Center for Pain of Montgomery LLC
• The Center for Pain of Montgomery LLC

• Medical Specialty Clinic/Center in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Medical Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.