Organization Active NPI

Hazel Green Family Practice

  • Family Medicine Physician
  • Hazel Green, AL
National Provider Identifier
1598877284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22921 Issued in AL
Legal business name
HAZEL GREEN FAMILY PRACTICE
Practice address
12801 Highway 231/431
Hazel Green, AL 35750
Phone
(256) 828-6720
Fax
(256) 828-7230
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bobby James Newbell, M.D.
Title
Ceo
Phone
(256) 828-6720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22921 AL Primary

Addresses

Primary practice location

12801 Highway 231/431
Hazel Green, AL 35750

Mailing address

12801 Highway 231/431
Hazel Green, AL 35750
Phone (256) 828-6720

Other identifiers 1

IdentifierTypeStateIssuer
51507428OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

12801 Highway 231 431 N
Hazel Green, AL 35750
Phone (256) 828-6720

13741 Highway 231 431 N
Hazel Green, AL 35750
Phone (256) 828-6720

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15491/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598877284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 HIGHWAY 231/431",
            "city": "HAZEL GREEN",
            "state": "AL",
            "postal_code": "35750",
            "telephone_number": "256-828-6720",
            "fax_number": "256-828-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 HIGHWAY 231/431",
            "city": "HAZEL GREEN",
            "state": "AL",
            "postal_code": "35750",
            "telephone_number": "256-828-6720",
            "fax_number": "256-828-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL GREEN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWBELL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-828-6720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "22921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51507428",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Green, AL

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.

Verify at the official NPI Registry.