Organization Active NPI

Naeini Health Services PC

  • Family Medicine Physician
  • Florence, AL
National Provider Identifier
1477027886
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NAEINI HEALTH SERVICES PC
Practice address
2107 Cloyd Blvd
Florence, AL 35630-1503
Phone
(256) 766-5771
Fax
(256) 766-8135
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Bardya Mostafavi Naeini, MD
Title
Provider
Phone
(773) 242-3464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2107 Cloyd Blvd
Florence, AL 35630-1503

Mailing address

310 Center Point LN
Florence, AL 35634-2012
Phone (773) 242-3464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1477027886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTER POINT LN",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356342012",
            "telephone_number": "773-242-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 CLOYD BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301503",
            "telephone_number": "256-766-5771",
            "fax_number": "256-766-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAEINI HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "NAEINI",
        "authorized_official_first_name": "BARDYA",
        "authorized_official_middle_name": "MOSTAFAVI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "773-242-3464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.