Urology South PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

12520 Issued in AL

Legal business name

UROLOGY SOUTH PC

Practice address

1004 1St St N
Suite 320
Alabaster, AL 35007-8766

Phone

(205) 663-4638

Fax

(205) 620-5209

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Scott Kelly, M.D.

Title

President

Phone

(205) 663-4638

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1497025878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N",
            "address_2": "SUITE 320",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078766",
            "telephone_number": "205-663-4638",
            "fax_number": "205-620-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N",
            "address_2": "SUITE 320",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078766",
            "telephone_number": "205-663-4638",
            "fax_number": "205-620-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SOUTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-663-4638",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AL",
            "license": "12520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Urology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.