Organization Active NPI

Cullman Spine Institute Inc

  • Orthopaedic Surgery Physician
  • Cullman, AL
National Provider Identifier
1548377302
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CULLMAN SPINE INSTITUTE INC
Practice address
1300 Bridge Creek Dr NE
Suite B
Cullman, AL 35055-1300
Phone
(256) 734-7707
Fax
(256) 734-7796
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Julie Jennings
Title
Office Manager
Phone
(256) 734-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X AL Primary

Addresses

Primary practice location

1300 Bridge Creek Dr NE
Suite B
Cullman, AL 35055-1300

Mailing address

1300 Bridge Creek Dr NE
Suite B
Cullman, AL 35055-1300
Phone (256) 734-7707

Other identifiers 3

IdentifierTypeStateIssuer
1366514945OtherPATRICK SWINEA - PHYSICAL
158863807OtherJENNIFER KNOWLTON - PHYSI
009939046MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1548377302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRIDGE CREEK DR NE",
            "address_2": "SUITE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551300",
            "telephone_number": "256-734-7707",
            "fax_number": "256-734-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRIDGE CREEK DR NE",
            "address_2": "SUITE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551300",
            "telephone_number": "256-734-7707",
            "fax_number": "256-734-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN SPINE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-734-7707"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATRICK SWINEA - PHYSICAL",
            "identifier": "1366514945",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JENNIFER KNOWLTON - PHYSI",
            "identifier": "158863807",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939046",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.