Organization Active NPI

Alexander a Horbal DO PLC

Doing business as Bay Allergy Clinic

  • Allergy & Immunology Physician
  • Bay City, MI
National Provider Identifier
1609447119
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALEXANDER A HORBAL DO PLC
Doing business as
Bay Allergy Clinic
Practice address
414 N Tuscola Rd
Bay City, MI 48708-6962
Phone
(989) 895-5007
Fax
(989) 895-8032
NPI assigned
Jul 6, 2021
Last updated
Jul 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
Dr. Alexander A Horbal, DONPI 1508166984
Title
Sole Member
Phone
(989) 631-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

414 N Tuscola Rd
Bay City, MI 48708-6962

Mailing address

414 N Tuscola Rd
Bay City, MI 48708-6962
Phone (989) 895-5007

Other names 1

  • Bay Allergy Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210830000242 MI Part B Supplier - Clinic/Group Practice 2860897899 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bay City, MI; Midland, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Alexander a Horbal DO PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

414 N Tuscola Rd
Bay City, MI 48708
Phone (989) 895-5007

555 W Wackerly St
Ste 2675
Midland, MI 48640
Phone (989) 631-1010

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1609447119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N TUSCOLA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086962",
            "telephone_number": "989-895-5007",
            "fax_number": "989-895-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N TUSCOLA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086962",
            "telephone_number": "989-895-5007",
            "fax_number": "989-895-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER A HORBAL DO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "HORBAL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "989-631-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.