Organization Active NPI

Bar-Vic Medical Holdings, LLC

  • Diagnostic Radiology Physician
  • Montgomery, AL
National Provider Identifier
1497997670
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.28226 Issued in AL
Legal business name
BAR-VIC MEDICAL HOLDINGS, LLC
Practice address
4135 Atlanta Hwy
Suite C
Montgomery, AL 36109-3022
Phone
(334) 819-8702
NPI assigned
Apr 2, 2009
Last updated
Jun 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Mr. Jeffrey Welch
Title
President
Phone
(334) 819-8702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD.28226 AL Primary

Addresses

Primary practice location

4135 Atlanta Hwy
Suite C
Montgomery, AL 36109-3022

Mailing address

2257 Taylor Rd
Suite 200
Montgomery, AL 36117-7790
Phone (334) 270-9914

National Provider Directory

National Provider Directory

Locations

4135 Atlanta Hwy
Ste C
Montgomery, AL 36109
Phone (334) 819-8702

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1497997670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 TAYLOR RD",
            "address_2": "SUITE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177790",
            "telephone_number": "334-270-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 ATLANTA HWY",
            "address_2": "SUITE C",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093022",
            "telephone_number": "334-819-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAR-VIC MEDICAL HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-819-8702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD.28226",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 1, 2009; 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.