Organization Active NPI

Richard a. Valentine MD LLC

  • Family Medicine Physician
  • Phenix City, AL
National Provider Identifier
1639352388
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8450 Issued in AL
Legal business name
RICHARD A. VALENTINE MD LLC
Practice address
1615 21St CT
Phenix City, AL 36867-3727
Phone
(334) 297-4883
Fax
(334) 297-7937
NPI assigned
Dec 17, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Richard A Valentine, MDNPI 1083607618
Title
MD
Phone
(334) 297-4883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8450 AL Primary

Addresses

Primary practice location

1615 21St CT
Phenix City, AL 36867-3727

Mailing address

1615 21St CT
Phenix City, AL 36867-3727
Phone (334) 297-4883

Other identifiers 1

IdentifierTypeStateIssuer
515-13286OtherALBCBSAL

National Provider Directory

National Provider Directory

Locations

1615 21st Ct
Phenix City, AL 36867
Phone (334) 297-4883

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": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1639352388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 21ST CT",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673727",
            "telephone_number": "334-297-4883",
            "fax_number": "334-297-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 21ST CT",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673727",
            "telephone_number": "334-297-4883",
            "fax_number": "334-297-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. VALENTINE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "334-297-4883",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "8450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "515-13286",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.