Joseph Anthony Mangini, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AL28290 Issued in AL

Practice address

300 S Hull St
Montgomery, AL 36104

Phone

(334) 240-2185

Fax

(334) 240-2188

NPI assigned

Nov 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Express

  • Family Medicine Physician
  • Millbrook, AL
  • NPI 1043362734
  NPD (past)
• Premise Health of Alabama Medical PC

  • Multi-Specialty Clinic/Center
  • Montgomery, AL
  • NPI 1396419305
  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1376797282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HULL ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361046105",
            "telephone_number": "334-240-2185",
            "fax_number": "334-240-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HULL ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36104",
            "telephone_number": "334-240-2185",
            "fax_number": "334-240-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3769 Highway 14",
            "address_purpose": "LOCATION",
            "city": "Millbrook",
            "state": "AL",
            "postal_code": "360541942",
            "country_code": "US",
            "telephone_number": "334-285-3222",
            "fax_number": "334-285-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGINI",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "AL28290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A. Mallory, CRNA
• Calyn Ashley Malloy, RN, MSN, FNP-C
• Margaret Doreen Maloney, MD
• Stephan Idris Mambazo, MSW, LICSW-PIP, CGRS
• Maryanna Elizabeth Manderville, LPC
• Robbie Mangum, M.S.,NCC,LPC
• Ashley Cannon Mann, CRNP
• Clint D Mann, DPT
• Kelly Mann, CRNP
• Susan Harrell Mann, RDN, LD, CDE

• Family Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.