Organization Active NPI

Montgomery Family Practice PC

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1639245707
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONTGOMERY FAMILY PRACTICE PC
Practice address
1758 Park PL Ste 402
Montgomery, AL 36106-1135
Phone
(334) 265-7255
Fax
(334) 265-9055
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Dr. David Coffey, DO
Title
President
Phone
(334) 265-7255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1758 Park PL Ste 402
Montgomery, AL 36106-1135

Mailing address

1758 Park PL Ste 402
Montgomery, AL 36106-1135
Phone (334) 265-7255

National Provider Directory

National Provider Directory

Locations

1758 Park Pl
Ste 402
Montgomery, AL 36106
Phone (334) 265-7255

2055 E South Blvd
Ste 506
Montgomery, AL 36116
Phone (334) 284-2455

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1639245707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 PARK PL STE 402",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061135",
            "telephone_number": "334-265-7255",
            "fax_number": "334-265-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 PARK PL STE 402",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061135",
            "telephone_number": "334-265-7255",
            "fax_number": "334-265-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-265-7255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.