NPIMap

Organization Active NPI

Pike Internal Medicine

  • Internal Medicine Physician
  • Brundidge, AL
National Provider Identifier
1679779177
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00006320 Issued in AL
Legal business name
PIKE INTERNAL MEDICINE
Practice address
664 Veterans Blvd
Brundidge, AL 36010
Phone
(334) 566-1270
Fax
(334) 566-1296
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mrs. Cheryl Dichiara
Title
Secretary
Phone
(334) 566-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 00006320 AL Primary

Addresses

Primary practice location

664 Veterans Blvd
Brundidge, AL 36010

Mailing address

1350 Hwy 231 So
Troy, AL 36081
Phone (334) 566-1270

Other identifiers 1

IdentifierTypeStateIssuer
52880960MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1679779177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 HWY 231 SO",
            "city": "TROY",
            "state": "AL",
            "postal_code": "36081",
            "telephone_number": "334-566-1270",
            "fax_number": "334-566-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 VETERANS BLVD",
            "city": "BRUNDIDGE",
            "state": "AL",
            "postal_code": "36010",
            "telephone_number": "334-566-1270",
            "fax_number": "334-566-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "DICHIARA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "334-566-1270",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00006320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52880960",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brundidge, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.