NPIMap

Organization Active NPI

Pensacola Primary Care, Inc.

  • Internal Medicine Physician
  • Pensacola, FL
National Provider Identifier
1376532762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PENSACOLA PRIMARY CARE, INC.
Practice address
321 W Fairfield Dr
Pensacola, FL 32501-1412
Phone
(850) 474-8546
Fax
(850) 479-9180
NPI assigned
Oct 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Birmingham
Title
Director
Phone
(615) 373-7625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

321 W Fairfield Dr
Pensacola, FL 32501-1412

Mailing address

321 W Fairfield Dr
Pensacola, FL 32501-1412
Phone (850) 474-8546

Other names 1

  • dba Pensacola Primary Care, Inc.-W.Fairfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pensacola Primary Care11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376532762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W FAIRFIELD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011412",
            "telephone_number": "850-474-8546",
            "fax_number": "850-479-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W FAIRFIELD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011412",
            "telephone_number": "850-474-8546",
            "fax_number": "850-479-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-373-7625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Pensacola Primary Care, Inc.-W.Fairfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.