Active NPI
Hazel Green Family Practice
- Family Medicine Physician
- Hazel Green, AL
National Provider Identifier
1598877284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22921
- 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, 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
- Dr. Bobby James Newbell, M.D.
- Title
- Ceo
- Phone
- (256) 828-6720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51507428 | Other | AL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Family Nurse Practitioner
- Huntsville, AL
- NPI 1992347272
-
- Internal Medicine Physician
- Hazel Green, AL
- NPI 1619093143
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.