Morgan Road Physical Medicine, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13714 Issued in AL

Legal business name

MORGAN ROAD PHYSICAL MEDICINE, LLC

Practice address

3054 Morgan Rd
Bessemer, AL 35022-6452

Phone

(205) 424-8400

NPI assigned

Dec 11, 2012

Last updated

Dec 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chris Sigvaldson

Title

Owner

Phone

(205) 424-8400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1396080701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 MORGAN RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226452",
            "telephone_number": "205-424-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3054 MORGAN RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226452",
            "telephone_number": "205-424-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN ROAD PHYSICAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "SIGVALDSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-424-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "13714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny V Moore, CRNA
• Michael Arthur Moore, M.D.
• Tiffanee Rachelle Moore, CRNP
• Sharon Moorer
• Morgan Rd Pediatrics, PC Dba Pediatrics 459
• Virginia Morgan, OD
• Latonya Shavonne Morris, CEO
• Kimberly Arlisa Morrissette
• Moving Forward Support Services LLC
• Moving With Intentions Transportation LLC

• General Practice Physician in Bessemer, AL
• Providers in Bessemer, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.