NPIMap

Organization Active NPI

Health Care Authority for Baptist Health, an Affiliate of Uabhs

Doing business as Montgomery Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Prattville, AL
National Provider Identifier
1376310037
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS
Doing business as
Montgomery Cardiovascular Associates
Practice address
645 McQueen Smith Rd N Ste 108
Prattville, AL 36066-7269
Phone
(334) 280-1500
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Christine Bruton
Title
Cfo
Phone
(334) 747-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

645 McQueen Smith Rd N Ste 108
Prattville, AL 36066-7269

Mailing address

PO Box 241587
Montgomery, AL 36124-1587

Other practice location 1

199 Highway 231 N
Troy, AL 36081-1766
Phone (334) 280-1500

Other practice location 2

277 Huntress St Ste 203
Wetumpka, AL 36092-3342
Phone (334) 280-1500

Other names 1

  • Montgomery Cardiovascular Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240326003580 AL Part B Supplier - Clinic/Group Practice 8426076670 Receives reassigned benefits from 29 practitioners
1 other NPI on this enrollment
Practice locations: Montgomery, AL; Prattville, AL; Troy, AL; Wetumpka, AL

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Baptist Palliative Care

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Baptist Medical Center SouthMontgomery, AL, CCN 010023 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Prattville Baptist HospitalPrattville, AL, CCN 010108 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Baptist Medical Center EastMontgomery, AL, CCN 010149 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Baptist Medical Center South, Dba CrossbridgeMontgomery, AL, CCN 01S023 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Prattville Baptist Hospital Geriatric Behavioral HealthPrattville, AL, CCN 01S108 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
Baptist HospiceMontgomery, AL, CCN 011500 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005

Owned or controlled facilities with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1376310037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241587",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MCQUEEN SMITH RD N STE 108",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667269",
            "telephone_number": "334-280-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Highway 231 N",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "360811766",
            "country_code": "US",
            "telephone_number": "334-280-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 Huntress St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Wetumpka",
            "state": "AL",
            "postal_code": "360923342",
            "country_code": "US",
            "telephone_number": "334-280-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-747-4447"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Cardiovascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.