Organization Active NPI

Daniel E. Gadzala, M.D.

  • Specialist
  • Enterprise, AL
National Provider Identifier
1639266018
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DANIEL E. GADZALA, M.D.
Practice address
101 E Brunson St
Suite 110
Enterprise, AL 36330-2526
Phone
(334) 347-9355
Fax
(334) 393-5057
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Daniel E Gadzala, M.D.
Title
Owner
Phone
(334) 347-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

101 E Brunson St
Suite 110
Enterprise, AL 36330-2526

Mailing address

101 E Brunson St
Suite 110
Enterprise, AL 36330-2526
Phone (334) 347-9355

National Provider Directory

National Provider Directory

Locations

300 Plaza Dr
Enterprise, AL 36330
Phone (334) 347-9541

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1639266018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST",
            "address_2": "SUITE 110",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302526",
            "telephone_number": "334-347-9355",
            "fax_number": "334-393-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST",
            "address_2": "SUITE 110",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302526",
            "telephone_number": "334-347-9355",
            "fax_number": "334-393-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E. GADZALA, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "GADZALA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-347-9355",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.