Organization Active NPI

Trace Crossings Family Medicine PC

  • Primary Care Clinic/Center
  • Hoover, AL
National Provider Identifier
1508942061
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
14054 Issued in AL
Legal business name
TRACE CROSSINGS FAMILY MEDICINE PC
Practice address
118 Mars Hill Rd
Hoover, AL 35244-3904
Phone
(205) 987-0005
Fax
(205) 987-0065
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James H Marshall, MD
Title
President
Phone
(205) 987-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 14054 AL Primary

Addresses

Primary practice location

118 Mars Hill Rd
Hoover, AL 35244-3904

Mailing address

118 Mars Hill Rd
Hoover, AL 35244-3904
Phone (205) 987-0005

Other identifiers 1

IdentifierTypeStateIssuer
51500656OtherALBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508942061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MARS HILL RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443904",
            "telephone_number": "205-987-0005",
            "fax_number": "205-987-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MARS HILL RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443904",
            "telephone_number": "205-987-0005",
            "fax_number": "205-987-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACE CROSSINGS FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-987-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "14054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51500656",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.