Organization Active NPI

B Vitality PLLC

  • General Practice Physician
  • Birmingham, AL
National Provider Identifier
1558898874
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17022747 Issued in AL
Legal business name
B VITALITY PLLC
Doing business as
REVIVE VITALITY
Practice address
3425 Colonnade Pkwy Ste C
Birmingham, AL 35243-2356
Phone
(205) 588-6700
Fax
(205) 449-4959
NPI assigned
May 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Authorized official

Name
Dr. Ross Barnett, M.D.
Title
M.D./Owner
Phone
(205) 588-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 17022747 AL Primary

Addresses

Primary practice location

3425 Colonnade Pkwy Ste C
Birmingham, AL 35243-2356

Mailing address

PO Box 242848
Montgomery, AL 36124-2848

Other names 1

  • REVIVE VITALITY Doing business as

National Provider Directory

National Provider Directory

Locations

3425 Colonnade Pkwy
Ste C
Birmingham, AL 35243
Phone (205) 719-2566

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1558898874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242848",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 COLONNADE PKWY STE C",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432356",
            "telephone_number": "205-588-6700",
            "fax_number": "205-449-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B VITALITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "205-588-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "17022747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REVIVE VITALITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REVIVE VITALITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.