NPIMap

Organization Active NPI

GBR,LLC

Doing business as Tuscaloosa Nephrology Associates Home Dialysis Training/Support Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tuscaloosa, AL
National Provider Identifier
1457308512
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
GBR,LLC
Doing business as
Tuscaloosa Nephrology Associates Home Dialysis Training/Support Center
Practice address
1850 McFarland Blvd N
Tuscaloosa, AL 35406-2138
Phone
(205) 556-5541
Fax
(205) 554-7937
NPI assigned
May 27, 2006
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Dirk Landon Berry, M.D.NPI 1831282938
Title
Co-Owner
Phone
(205) 556-5541

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X AL Primary

Addresses

Primary practice location

1850 McFarland Blvd N
Tuscaloosa, AL 35406-2138

Mailing address

1850 McFarland Blvd N
Tuscaloosa, AL 35406-2138
Phone (205) 556-5541

Other names 1

  • Tuscaloosa Nephrology Associates Home Dialysis Training/Support Center Doing business as

National Provider Directory

National Provider Directory

Locations

1850 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 556-5541

Practitioners & affiliated clinicians

Practitioners 2

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1457308512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062138",
            "telephone_number": "205-556-5541",
            "fax_number": "205-554-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062138",
            "telephone_number": "205-556-5541",
            "fax_number": "205-554-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBR,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "LANDON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "205-556-5541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuscaloosa Nephrology Associates Home Dialysis Training/Support Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.