Active NPI
Charles F Albert
- Internal Medicine Physician
- Florence, AL
National Provider Identifier
1508907684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15691
- Legal business name
- CHARLES F ALBERT
- Practice address
- 210 Indian Springs Dr
Florence, AL 35634-2056 - Phone
- (256) 810-3036
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Albert, M.D.
- Title
- Owner
- Phone
- (256) 810-3036
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15691 | AL | Primary |
| Family Nurse Practitioner | 363LF0000X | 1-063128 | AL |
Addresses
Primary practice location
210 Indian Springs Dr
Florence, AL 35634-2056
Mailing address
210 Indian Springs Dr
Florence, AL 35634-2056
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I230 | Other | AL | GROUP |
| 01D0723250 | Other | CLIA | |
| 000083440 | Medicaid | AL | |
| 1033180104 | Other | AL | NPI |
| 15691 | Other | AL | STATE LICENSE |
| 1275629941 | Other | AL | NPI |
National Provider Directory
National Provider DirectoryLocations
1120 S Jackson Hwy
Ste 301A
Sheffield, AL 35660
Phone (256) 381-2161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357516800000",
"number": "1508907684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 INDIAN SPRINGS DR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356342056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 INDIAN SPRINGS DR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356342056",
"telephone_number": "256-810-3036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES F ALBERT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2013-01-07",
"status": "A",
"authorized_official_last_name": "ALBERT",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-810-3036",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AL",
"license": "15691",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-063128",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "I230",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "01D0723250",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000083440",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1033180104",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "15691",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1275629941",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.