Southside Endocrinology LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

9301 Issued in AL

Legal business name

SOUTHSIDE ENDOCRINOLOGY LLC

Practice address

1900 Crestwood Blvd
Ste 201
Irondale, AL 35210-2051

Phone

(205) 957-0034

Fax

(205) 957-0036

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Samuel Henry Bell, M.D.

Title

President

Phone

(205) 957-0034

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1528119781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CRESTWOOD BLVD",
            "address_2": "STE 201",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102051",
            "telephone_number": "205-957-0034",
            "fax_number": "205-957-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CRESTWOOD BLVD",
            "address_2": "STE 201",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102051",
            "telephone_number": "205-957-0034",
            "fax_number": "205-957-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SAMUEL HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-957-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AL",
            "license": "9301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "L192",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Smith
• Travis Smith, DPT
• Rickeyta C Snell, MA
• Lindsay Erin Snow, OD
• Casey Lynn Souders, PHARMD
• St Jude Thaddeus Internal Medicine
• April Steed
• Destin Gilchrist Stephens, PHARMD
• Amy Kathryn Stokes, SLP
• Jakhaila Stone, PT, DPT

• Endocrinology, Diabetes & Metabolism Physician in Irondale, AL
• Providers in Irondale, AL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.