Individual provider Active NPI

Heather Amelia Broussard Lawson, D.O.

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1487987137
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1092 Issued in AL
Practice address
409 Glenmede LN
Montgomery, AL 36117-6093
Phone
(334) 549-9388
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1092 AL Primary

Addresses

Primary practice location

409 Glenmede LN
Montgomery, AL 36117-6093

Mailing address

409 Glenmede LN
Montgomery, AL 36117-6093
Phone (334) 549-9388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000451 AL Practitioner - Emergency MedicinePractitioner - Family Practice 8426188756 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc CurrentSince Jun 1, 2018 Accepting new patients
Paragon Contracting Services LLC CurrentSince Mar 1, 2013 Accepting new patients
Nes Tennessee Inc Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Dec 1, 2014 Accepting new patients
Russell Hospital Corporation Family Medicine CurrentSince Jul 13, 2010 Accepting new patients
Russell Hospital Corporation CurrentSince Jul 13, 2010 Accepting new patients
Nes Tennessee Inc CurrentSince Jun 1, 2018 Accepting new patients
Russell Hospital Corporation Current Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1487987137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 GLENMEDE LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176093",
            "telephone_number": "334-549-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 GLENMEDE LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176093",
            "telephone_number": "334-549-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD LAWSON",
        "first_name": "HEATHER",
        "middle_name": "AMELIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.