David Smithson MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

12632 Issued in AL

Legal business name

DAVID SMITHSON MD LLC

Doing business as

BodyLogicMD of Birmingham

Practice address

6801 Cahaba Valley Rd
Suite 208
Birmingham, AL 35242-9608

Phone

(866) 399-6811

Fax

(866) 399-6812

NPI assigned

Apr 26, 2010

Organization subpart

No

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

Authorized official

Name

David Smithson, M.D.

Title

Director

Phone

(866) 399-6811

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of Birmingham Doing business as

Locations

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1649597097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S PERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361044227",
            "telephone_number": "866-399-6811",
            "fax_number": "866-399-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 CAHABA VALLEY RD",
            "address_2": "SUITE 208",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352429608",
            "telephone_number": "866-399-6811",
            "fax_number": "866-399-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SMITHSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-399-6811",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "12632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Birmingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.