NPIMap

Individual provider Active NPI

Nolan D Ulrich, D.O.

  • Family Medicine Physician
  • Piedmont, AL
National Provider Identifier
1659452209
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO 893 Issued in AL
Practice address
25 Roundtree Dr
Piedmont, AL 36272-5893
Phone
(256) 447-9045
Fax
(256) 447-9040
NPI assigned
Oct 18, 2006
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7929 TX
Family Medicine Physician 207Q00000X DO 893 AL Primary

Addresses

Primary practice location

25 Roundtree Dr
Piedmont, AL 36272-5893

Mailing address

25 Roundtree Dr
Piedmont, AL 36272-5893
Phone (256) 447-9045

Other identifiers 1

IdentifierTypeStateIssuer
100893MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nolanulrich@piedmontfpc.direct.emds.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000407 AL Practitioner - Family Practice 0941379283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Family Practice Center PCGroup PAC ID 1153490487, 2 clinicians

Practice addresses (Care Compare)

25 Roundtree Dr
Piedmont, AL 36272-5893
Phone (256) 447-9045

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO 893ALMDFamily Medicine Physician
K7929TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Family Practice Center PC Family Medicine CurrentSince Mar 26, 2008 Accepting new patients

Locations

25 Roundtree Dr
Piedmont, AL 36272
Phone (256) 447-9045

800 Memorial Dr
Piedmont, AL 36272
Phone (256) 447-9045

Interoperability endpoints

  • Direct secure messaging: nolanulrich@piedmontfpc.direct.emds.com
  • Direct secure messaging: nulrich@pfpc.ssdirect.aprima.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1659452209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROUNDTREE DR",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362725893",
            "telephone_number": "256-447-9045",
            "fax_number": "256-447-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROUNDTREE DR",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362725893",
            "telephone_number": "256-447-9045",
            "fax_number": "256-447-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "NOLAN",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7929",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO 893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100893",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nolanulrich@piedmontfpc.direct.emds.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "xml",
            "address_1": "25 Roundtree Dr",
            "city": "Piedmont",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362725893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Piedmont, AL

Sources for this page

Verify at the official NPI Registry.