Organization Active NPI

South Baldwin Childrens Center PC

Doing business as South Baldwin Childrens Center

  • Pediatrics Physician
  • Foley, AL
National Provider Identifier
1679795777
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SOUTH BALDWIN CHILDRENS CENTER PC
Doing business as
South Baldwin Childrens Center
Practice address
106 W Myrtle Ave
Foley, AL 36535-1935
Phone
(251) 943-5437
Fax
(251) 943-3227
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Harold R Reed III, MD
Title
Owner
Phone
(251) 943-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

106 W Myrtle Ave
Foley, AL 36535-1935

Mailing address

106 W Myrtle Ave
Foley, AL 36535-1935
Phone (251) 943-5437

Other identifiers 1

IdentifierTypeStateIssuer
000013444MedicaidAL

Other names 1

  • SOUTH BALDWIN CHILDRENS CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1679795777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MYRTLE AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351935",
            "telephone_number": "251-943-5437",
            "fax_number": "251-943-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MYRTLE AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351935",
            "telephone_number": "251-943-5437",
            "fax_number": "251-943-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BALDWIN CHILDRENS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-943-5437",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000013444",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH BALDWIN CHILDRENS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.