Bodylogicmd of Birmingham

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD17416 Issued in AL

Legal business name

BODYLOGICMD OF BIRMINGHAM

Practice address

1024 Edenton St
Birmingham, AL 35242-9258

Phone

(866) 460-3246

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Jeffrey A Donohue, MD

Title

Owner

Phone

(770) 402-9602

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1427407428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 JUNIPER MILL TRCE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149601",
            "telephone_number": "770-402-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 EDENTON ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352429258",
            "telephone_number": "866-460-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYLOGICMD OF BIRMINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-402-9602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "MD17416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Craig Bobbitt
• Michael Steven Bobo, M.D., M.ED
• Elizabeth Suzanne Bochniak
• Shelia Boddie, MSN, NE-BC
• Rebecca Sheree Bodiford, PHD
• Jennifer Bogan, CRNP
• Kelsie Bogan
• Donna Edith Boger, R.N.
• Steve H Boger, M.D.
• Drexell H Boggs, M.D.

• Primary Care Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.