NPIMap

Organization Active NPI

Kopyta Internal Medicine, PC

  • Clinic/Center
  • Albertville, AL
National Provider Identifier
1639476252
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
00021174 Issued in AL
Legal business name
KOPYTA INTERNAL MEDICINE, PC
Practice address
312 Sand MTN Dr SE
Albertville, AL 35950-2330
Phone
(256) 891-4577
Fax
(256) 891-4919
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Dr. Barbara Elzbieta Kucewicz-Kopyta, M.D.
Title
President
Phone
(256) 891-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 00021174 AL Primary

Addresses

Primary practice location

312 Sand MTN Dr SE
Albertville, AL 35950-2330

Mailing address

312 Sand MTN Dr SE
Albertville, AL 35950-2330
Phone (256) 891-4577

Other identifiers 2

IdentifierTypeStateIssuer
0515-01031OtherALBCBS
009951470MedicaidAL

Other names 1

  • Barbara Kucewicz-Kopyta, M.D. Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1639476252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SAND MTN DR SE",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502330",
            "telephone_number": "256-891-4577",
            "fax_number": "256-891-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SAND MTN DR SE",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502330",
            "telephone_number": "256-891-4577",
            "fax_number": "256-891-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPYTA INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "KUCEWICZ-KOPYTA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ELZBIETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-891-4577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "00021174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0515-01031",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009951470",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barbara Kucewicz-Kopyta, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.