Active NPI
Blossomwood Research LLC
- Internal Medicine Physician
- Huntsville, AL
National Provider Identifier
1669994331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BLOSSOMWOOD RESEARCH LLC
- Practice address
- 2121 Whitesburg Dr SE Ste D
Huntsville, AL 35801-4501 - Phone
- (256) 883-0107
- Fax
- (256) 883-0207
- NPI assigned
- Jul 13, 2017
- 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
- Mrs. Dzene Juceviciute
- Title
- President
- Phone
- (256) 431-9254
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2121 Whitesburg Dr SE Ste D
Huntsville, AL 35801-4501
Mailing address
2121 Whitesburg Dr SE Ste D
Huntsville, AL 35801-4501
Phone (256) 883-0107
Other practice location 1
180 Old Highway 431 Ste C
Owens Cross Roads, AL 35763-9274
Phone (256) 585-3961
National Provider Directory
National Provider DirectoryLocations
2121 Whitesburg Dr SE
Ste D
Huntsville, AL 35801
Phone (256) 883-0107
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Huntsville, AL
- NPI 1225270440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1669994331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 WHITESBURG DR SE STE D",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014501",
"telephone_number": "256-883-0107",
"fax_number": "256-883-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 WHITESBURG DR SE STE D",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014501",
"telephone_number": "256-883-0107",
"fax_number": "256-883-0207"
}
],
"practiceLocations": [
{
"address_1": "180 Old Highway 431 Ste C",
"address_purpose": "LOCATION",
"city": "Owens Cross Roads",
"state": "AL",
"postal_code": "357639274",
"country_code": "US",
"telephone_number": "256-585-3961",
"fax_number": "256-585-3971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BLOSSOMWOOD RESEARCH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JUCEVICIUTE",
"authorized_official_first_name": "DZENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-431-9254",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.