NPIMap

Organization Active NPI

Wilburn a. Smith, Jr., M.D.

  • Orthopaedic Surgery Physician
  • Montgomery, AL
National Provider Identifier
1477733269
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9125 Issued in AL
Legal business name
WILBURN A. SMITH, JR., M.D.
Practice address
4131 Carmichael Rd
Suite 28
Montgomery, AL 36106-2801
Phone
(334) 281-6363
Fax
(334) 284-4253
NPI assigned
Nov 8, 2007
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Laura H Smith, CRNPNPI 1740340017
Title
Manager/Nurse Practitioner
Phone
(334) 281-6363

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
Orthopaedic Surgery Physician 207X00000X 9125 AL Primary

Addresses

Primary practice location

4131 Carmichael Rd
Suite 28
Montgomery, AL 36106-2801

Mailing address

4131 Carmichael Rd
Suite 28
Montgomery, AL 36106-2801
Phone (334) 281-6363

Other identifiers 1

IdentifierTypeStateIssuer
000083838MedicaidAL

National Provider Directory

National Provider Directory

Locations

101 Hospital Dr
Ste A
Luverne, AL 36049
Phone (334) 281-6363

2023 Normandie Dr
Montgomery, AL 36111
Phone (334) 281-6363

4131 Carmichael Rd
Ste 28
Montgomery, AL 36106
Phone (334) 281-6363

Practitioners & affiliated clinicians

Practitioners 3

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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1477733269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 CARMICHAEL RD",
            "address_2": "SUITE 28",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062801",
            "telephone_number": "334-281-6363",
            "fax_number": "334-284-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 CARMICHAEL RD",
            "address_2": "SUITE 28",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062801",
            "telephone_number": "334-281-6363",
            "fax_number": "334-284-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBURN A. SMITH, JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "334-281-6363",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "9125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000083838",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.