NPIMap

Organization Active NPI

Mercy Medical Health Center of Gulf Shores

  • Clinic/Center
  • Gulf Shores, AL
National Provider Identifier
1447827431
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY MEDICAL HEALTH CENTER OF GULF SHORES
Doing business as
Mercy Medical Health Center of Gulf Shores
Practice address
3849 Gulf Shores Pkwy Ste 9
Gulf Shores, AL 36542-2857
Phone
(318) 259-1100
Fax
(318) 259-1333
NPI assigned
Jun 8, 2021
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Kimberly BrunsonNPI 1477785798
Title
Ceo
Phone
(318) 259-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3849 Gulf Shores Pkwy Ste 9
Gulf Shores, AL 36542-2857

Mailing address

3849 Gulf Shores Pkwy Ste 9
Gulf Shores, AL 36542-2857
Phone (251) 957-8970

Other identifiers 1

IdentifierTypeStateIssuer
296466MedicaidAL

Other names 1

  • Mercy Medical Health Center of Gulf Shores Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221130000163 AL Part B Supplier - Clinic/Group Practice 0345618062 Receives reassigned benefits from 3 practitioners
Practice locations: Gulf Shores, AL

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Health Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

3849 Gulf Shores Pkwy
Gulf Shores, AL 36542

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1447827431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 GULF SHORES PKWY STE 9",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422857",
            "telephone_number": "251-957-8970",
            "fax_number": "251-957-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 GULF SHORES PKWY STE 9",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422857",
            "telephone_number": "318-259-1100",
            "fax_number": "318-259-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL HEALTH CENTER OF GULF SHORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-259-1100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296466",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Health Center of Gulf Shores",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Medical Health Center of Gulf Shores",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.