Active NPI
Selma Radiology Associates P C
- Specialist
- Montgomery, AL
National Provider Identifier
1669429296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SELMA RADIOLOGY ASSOCIATES P C
- Practice address
- 2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732 - Phone
- (334) 269-6337
- Fax
- (334) 834-0657
- NPI assigned
- May 28, 2006
- Last updated
- Oct 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark D Laurent
- Title
- Ceo
- Phone
- (334) 288-4624
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Mailing address
2055 Normandie Dr Ste 200
Montgomery, AL 36111-2732
Phone (334) 269-6337
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/ | Other | Management Services Network, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL, TN, CA, CO, AZ, NJ, NC, VA, NY
Enrollment records 10
National Provider Directory
National Provider DirectoryLocations
2918 Citizens Pkwy
Selma, AL 36701
Phone (334) 289-6337
Practitioners & affiliated clinicians
Practitioners 83
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.
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1023429495
-
- Student in an Organized Health Care Education/Training Program
- Birmingham, AL
- NPI 1942820808
-
- Diagnostic Radiology Physician
- Montgomery, AL
- NPI 1558311910
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1033538103
-
- Vascular & Interventional Radiology Physician
- Montgomery, AL
- NPI 1679545438
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1346405040
-
- Vascular & Interventional Radiology Physician
- Birmingham, AL
- NPI 1033552963
-
- Vascular & Interventional Radiology Physician
- Montgomery, AL
- NPI 1134191828
-
- Diagnostic Radiology Physician
- Montgomery, AL
- NPI 1235635053
-
- Vascular & Interventional Radiology Physician
- Montgomery, AL
- NPI 1154393841
-
- Diagnostic Radiology Physician
- Montgomery, AL
- NPI 1659637767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792368000000",
"number": "1669429296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR STE 200",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-269-6337",
"fax_number": "334-834-0657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "SUITE 108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-269-6337",
"fax_number": "334-834-0657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELMA RADIOLOGY ASSOCIATES P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A",
"authorized_official_last_name": "LAURENT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "334-288-4624",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1036.1",
"affiliationName": "Management Services Network, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2357 Warm Springs Rd Ste 400",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "319046874",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.