Organization Active NPI

BHC - Occupational Medicine Rehab

  • Occupational Medicine Physician
  • Birmingham, AL
National Provider Identifier
1669436705
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
BHC - OCCUPATIONAL MEDICINE REHAB
Practice address
833 Princeton Ave SW
Pob III; Suite 150
Birmingham, AL 35211-1323
Phone
(205) 781-2699
Fax
(205) 781-2690
NPI assigned
Apr 14, 2006
Organization subpart
Yes
Parent organization
BAPTIST HEALTH CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
G. Scott Fenn
Title
Chief Integration Officier
Phone
(205) 715-5415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

833 Princeton Ave SW
Pob III; Suite 150
Birmingham, AL 35211-1323

Mailing address

PO Box 830605
Birmingham, AL 35283-0605
Phone (205) 715-5904

Other identifiers 1

IdentifierTypeStateIssuer
529702460MedicaidAL

National Provider Directory

National Provider Directory
Part of
Baptist Health Centers LLC

Locations

833 Princeton Ave SW
Ste 150
Birmingham, AL 35211
Phone (205) 781-2699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1669436705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830605",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830605",
            "telephone_number": "205-715-5904",
            "fax_number": "205-715-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 PRINCETON AVE SW",
            "address_2": "POB III; SUITE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111323",
            "telephone_number": "205-781-2699",
            "fax_number": "205-781-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC - OCCUPATIONAL MEDICINE REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC.",
        "enumeration_date": "2006-04-14",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF INTEGRATION OFFICIER",
        "authorized_official_telephone_number": "205-715-5415"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529702460",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.