Jasper Urgent Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JASPER URGENT CARE

Practice address

4330 78 East #115
Medical Plaza East Suite 115
Jasper, AL 35501-8955

Phone

(205) 295-0002

Fax

(205) 295-0991

NPI assigned

Jul 25, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bolanle O Gbadebo, MDNPI 1245320480

Title

Owner

Phone

(205) 295-0002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jasper Doctors Clinic and Urgent Care Inc Other name

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.

• Bolanle O. Gbadebo, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1245320480
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1588686505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 78 EAST #115",
            "address_2": "MEDICAL PLAZA SUITE 115",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018955",
            "telephone_number": "205-295-0002",
            "fax_number": "205-295-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 78 EAST #115",
            "address_2": "MEDICAL PLAZA EAST SUITE 115",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018955",
            "telephone_number": "205-295-0002",
            "fax_number": "205-295-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GBADEBO",
        "authorized_official_first_name": "BOLANLE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-295-0002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529929710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper Doctors Clinic and Urgent Care Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jasper Hearing Center, LLC
• Jasper Medical Supply, Inc.
• Jasper Pediatric Dentistry, LLC
• Jasper Podiatry Center, P.C.
• Jasper Senior Living LLC (The Terrace Senior Living Community)
• Miali Praytor Jennings, CRNP
• Jernigan Healthcare, Inc.
• Jerry L. Boshell, D.M.D., P.C.
• Jerry V. Mosley M.D., P.C.
• John G. Jessup, MD

• Family Medicine Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.