Valley Family Physician Care PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

00010377 Issued in AL

Legal business name

VALLEY FAMILY PHYSICIAN CARE PC

Practice address

1868 Sparkman Dr NW
Huntsville, AL 35816-1122

Phone

(256) 721-9916

Fax

(256) 721-9973

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Prem Kumar Gulati, M.D.

Title

Owner

Phone

(256) 721-9916

Specialties & licenses 1

Addresses

Tax ID family

Sparkman Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valley Family Physician Care

  • General Practice Physician
  • Huntsville, AL
  • NPI 1851444368
  NPD tax ID

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558458018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 SPARKMAN DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161122",
            "telephone_number": "256-721-9916",
            "fax_number": "256-721-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 SPARKMAN DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161122",
            "telephone_number": "256-721-9916",
            "fax_number": "256-721-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY PHYSICIAN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GULATI",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-721-9916",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "00010377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine B Valentine, PT
• Tracy Porter Valenzuela, NP
• Starr Ellen Valerio
• Valley Center for Nerve Studies and Rehabilitation
• Valley Family Physician Care
• Valley Spine and Pain LLC
• Valley Vascular Access Center, LLC
• Valley Vascular Consultants PC
• Valley Vein and Cosmetics LLC
• Valley Vision Center, Inc.

• General Practice Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• General Practice Physician in Alabama

• 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.