Organization Active NPI

BHC-Hoover Family Healthcare, Inc.

Doing business as BHC-Hoover Primary Care

  • Family Medicine Physician
  • Hoover, AL
National Provider Identifier
1669534947
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27614 Issued in AL
Legal business name
BHC-HOOVER FAMILY HEALTHCARE, INC.
Doing business as
BHC-Hoover Primary Care
Practice address
5295 Preserve Pkwy
Suite 210
Hoover, AL 35244-4701
Phone
(205) 682-6077
Fax
(205) 682-7746
NPI assigned
Dec 14, 2006
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
G. Scott Fenn
Title
President
Phone
(205) 715-5415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27614 AL Primary

Addresses

Primary practice location

5295 Preserve Pkwy
Suite 210
Hoover, AL 35244-4701

Mailing address

PO Box 830605
Birmingham, AL 35283-0605
Phone (205) 715-5943

Other identifiers 1

IdentifierTypeStateIssuer
529930740MedicaidAL

Other names 1

  • BHC-Hoover Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

2467 John Hawkins Pkwy
Ste 201
Hoover, AL 35244
Phone (205) 682-6077

5201 Princeton Way
Ste 201
Hoover, AL 35226
Phone (205) 682-6077

5295 Preserve Pkwy
Ste 270
Hoover, AL 35244
Phone (205) 783-3000

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1669534947",
    "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": "205-715-5943",
            "fax_number": "205-715-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 PRESERVE PKWY",
            "address_2": "SUITE 210",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444701",
            "telephone_number": "205-682-6077",
            "fax_number": "205-682-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC-HOOVER FAMILY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-715-5415"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529930740",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHC-Hoover Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.