Organization Active NPI

Tuscaloosa Orthopedic & Joint Institute, LLC

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Tuscaloosa, AL
National Provider Identifier
1467865758
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
Legal business name
TUSCALOOSA ORTHOPEDIC & JOINT INSTITUTE, LLC
Practice address
100 Rice Mine Road Loop Ste 205
Tuscaloosa, AL 35406-2419
Phone
(205) 391-4440
Fax
(205) 391-4441
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Bryan R King, MDNPI 1700095346
Title
Physician
Phone
(205) 391-4440

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
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X Primary

Addresses

Primary practice location

100 Rice Mine Road Loop Ste 205
Tuscaloosa, AL 35406-2419

Mailing address

100 Rice Mine Road Loop Ste 205
Tuscaloosa, AL 35406-2419
Phone (205) 391-4440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140827001836 AL Part B Supplier - Clinic/Group Practice 8921226366 Receives reassigned benefits from 4 practitioners
Practice locations: Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

3515 Watermelon Rd
Northport, AL 35473
Phone (205) 366-0032

100 Rice Mine Road Loop
Ste 205
Tuscaloosa, AL 35406
Phone (205) 391-4440

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": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1467865758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICE MINE ROAD LOOP STE 205",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062419",
            "telephone_number": "205-391-4440",
            "fax_number": "205-391-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE ROAD LOOP STE 205",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062419",
            "telephone_number": "205-391-4440",
            "fax_number": "205-391-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCALOOSA ORTHOPEDIC & JOINT INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-391-4440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 7, 2020; 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.