Organization Active NPI

Marla J. Gleason, MD

  • Obstetrics & Gynecology Physician
  • Bay Minette, AL
National Provider Identifier
1548282593
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11955 Issued in AL
Legal business name
MARLA J. GLEASON, MD
Practice address
2001 Medical Center Dr
Bay Minette, AL 36507-4163
Phone
(251) 937-7016
Fax
(251) 937-7612
NPI assigned
Jul 25, 2006
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Marla J Gleason, MD
Title
Owener
Phone
(251) 937-7016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 11955 AL Primary

Addresses

Primary practice location

2001 Medical Center Dr
Bay Minette, AL 36507-4163

Mailing address

2001 Medical Center Dr
Bay Minette, AL 36507-4163
Phone (251) 937-7016

Other identifiers 1

IdentifierTypeStateIssuer
000014571MedicaidAL

National Provider Directory

National Provider Directory

Locations

2001 Medical Center Dr
Bay Minette, AL 36507
Phone (251) 580-8475

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1548282593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL CENTER DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074163",
            "telephone_number": "251-937-7016",
            "fax_number": "251-937-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL CENTER DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074163",
            "telephone_number": "251-937-7016",
            "fax_number": "251-937-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLA J. GLEASON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "251-937-7016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "11955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000014571",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.