Active NPI
Hueytown Medical Center, P.C.
- Family Medicine Physician
- Vestavia, AL
National Provider Identifier
1639192537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HUEYTOWN MEDICAL CENTER, P.C.
- Practice address
- 2076 Lakewood Dr
Vestavia, AL 35216-1932 - Phone
- (205) 706-5010
- NPI assigned
- Jul 25, 2006
- 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. David Roy Barthold, M.D.
- Title
- Owner
- Phone
- (205) 706-5010
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2076 Lakewood Dr
Vestavia, AL 35216-1932
Mailing address
2257 Taylor Rd
Suite 200
Montgomery, AL 36117-7790
Phone (334) 270-9914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080219000277 | AL | Part B Supplier - Clinic/Group Practice | 0446333108 |
Receives reassigned benefits from 1 practitioner Practice locations: Bessemer, AL; Hoover, AL; Vestavia, AL |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1639192537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2257 TAYLOR RD",
"address_2": "SUITE 200",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177790",
"telephone_number": "334-270-9914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2076 LAKEWOOD DR",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352161932",
"telephone_number": "205-706-5010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUEYTOWN MEDICAL CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "BARTHOLD",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ROY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-706-5010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.