Organization Active NPI

Auburn Gastroenterology, LLC

  • Surgery Physician
  • Auburn, AL
National Provider Identifier
1497135347
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19629 Issued in AL
Legal business name
AUBURN GASTROENTEROLOGY, LLC
Practice address
835 N Dean Rd Ste a
Auburn, AL 36830-4034
Phone
(343) 297-8223
Fax
(888) 667-1168
NPI assigned
Jun 5, 2015
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Brice Jones
Title
Manager
Phone
(334) 329-7822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 19629 AL
Surgery Physician 208600000X 19629 AL Primary

Addresses

Primary practice location

835 N Dean Rd Ste a
Auburn, AL 36830-4034

Mailing address

785 N Dean Rd Ste 400
Auburn, AL 36830-4034
Phone (334) 329-7822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150917001259 AL Part B Supplier - Clinic/Group Practice 5890002299 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, AL

National Provider Directory

National Provider Directory

Locations

785 N Dean Rd
Ste 400
Auburn, AL 36830
Phone (334) 275-7440

835 N Dean Rd
#A
Auburn, AL 36830
Phone (334) 329-7822

835 N Dean Rd
Ste A
Auburn, AL 36830
Phone (343) 297-8223

720 Cool Springs Blvd
Ste 470
Franklin, TN 37067

Practitioners & affiliated clinicians

Practitioners 2

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": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1497135347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 N DEAN RD STE 400",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304034",
            "telephone_number": "334-329-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N DEAN RD STE A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304034",
            "telephone_number": "343-297-8223",
            "fax_number": "888-667-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN GASTROENTEROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "334-329-7822"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "19629",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "19629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.