Active NPI
Southwest Fertility Center, LLC
- Obstetrics & Gynecology Physician
- Salem, VA
National Provider Identifier
1568451565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SOUTHWEST FERTILITY CENTER, LLC
- Practice address
- 2850 Keagy Rd
Salem, VA 24153-7458 - Phone
- (540) 776-4989
- Fax
- (540) 776-4986
- NPI assigned
- Oct 21, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick Birmingham
- Title
- Director
- Phone
- (615) 373-7625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
2850 Keagy Rd
Salem, VA 24153-7458
Mailing address
2850 Keagy Rd
Salem, VA 24153-7458
Phone (540) 776-4989
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Jacksonville, FL
- NPI 1174514020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568451565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 KEAGY RD",
"city": "SALEM",
"state": "VA",
"postal_code": "241537458",
"telephone_number": "540-776-4989",
"fax_number": "540-776-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 KEAGY RD",
"city": "SALEM",
"state": "VA",
"postal_code": "241537458",
"telephone_number": "540-776-4989",
"fax_number": "540-776-4986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST FERTILITY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BIRMINGHAM",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-373-7625",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- 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.