Acton Road Pediatrics, LLC
Organization Active NPI Pediatrics Physician · Birmingham, AL
NPI 1679692123 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1679692123
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD.18441 (AL)
- Legal business name
- ACTON ROAD PEDIATRICS, LLC
- Practice address
- 2409 Acton Rd
Suite 171
Birmingham, AL 35243-2940 - Phone
- (205) 978-8245
- Fax
- (205) 978-8249
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Sheridyn B Breedlove, MD
- Title
- Physician and Partner
- Phone
- (205) 978-8245
Practitioners 5
-
Sheridyn B Breedlove, M.D.
-
Lisa Frees, M.D.
-
Lillian Lyle Israel, M.D.
-
Alison McAfee, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1065860 | Acton Road Pediatrics LLC | Compliance | Apr 17, 2028 |
National Provider Directory
Locations
2409 Acton Rd
Ste 171
Vestavia, AL 35243
Phone (205) 978-8245
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | MD.18441 | AL | Yes |
Addresses
Primary practice location
2409 Acton Rd
Suite 171
Birmingham, AL 35243-2940
Mailing address
2409 Acton Rd
Suite 171
Birmingham, AL 35243-2940
Phone (205) 978-8245
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.