Organization Active NPI

University Gastroenterology Specialists PC

  • Gastroenterology Physician
  • Northport, AL
National Provider Identifier
1386756997
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
UNIVERSITY GASTROENTEROLOGY SPECIALISTS PC
Practice address
511 Energy Center Blvd BLDG 7 Ste a
Northport, AL 35473-5834
Phone
(205) 523-0160
Fax
(205) 986-0081
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Howard S Brown, MD
Title
Owner/Provider
Phone
(205) 523-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

511 Energy Center Blvd BLDG 7 Ste a
Northport, AL 35473-5834

Mailing address

511 Energy Center Blvd BLDG 7 Ste a
Northport, AL 35473-5834
Phone (205) 523-0160

Other identifiers 1

IdentifierTypeStateIssuer
529923900MedicaidAL

National Provider Directory

National Provider Directory

Locations

511 Energy Center Blvd
Bldg 7
Northport, AL 35473
Phone (205) 345-6774

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1386756997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ENERGY CENTER BLVD BLDG 7 STE A",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735834",
            "telephone_number": "205-523-0160",
            "fax_number": "205-986-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ENERGY CENTER BLVD BLDG 7 STE A",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735834",
            "telephone_number": "205-523-0160",
            "fax_number": "205-986-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY GASTROENTEROLOGY SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "205-523-0160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529923900",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.