Samford University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

SAMFORD UNIVERSITY

Practice address

800 Lakeshore Dr
Hanna Center, RM 1105
Birmingham, AL 35229-0001

Phone

(205) 726-2811

NPI assigned

Oct 15, 2012

Organization subpart

No

Name

Henry B. Brock III

Title

VP, Business & Financial Affairs

Phone

(205) 726-2811

Locations

• Samford University Athletics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2012.

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1699027680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LAKESHORE DR",
            "address_2": "HANNA CENTER, RM 1105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352290001",
            "telephone_number": "205-726-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LAKESHORE DR",
            "address_2": "HANNA CENTER, RM 1105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352290001",
            "telephone_number": "205-726-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMFORD UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VP, BUSINESS & FINANCIAL AFFAIRS",
        "authorized_official_telephone_number": "205-726-2811",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samford University Athletics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Salzman
• Samaritan Counseling Center
• Judy Samattasribootr, O.D.
• Samford University
• Samford University
• James W. Samford, D.M.D.
• Westcott Samford, D.D.S.
• Naga Swetha Samji, M.D
• Matthew Allen Sample, M.D.
• Vanessa Ann Marie Sampley

• All providers in Birmingham, AL
• Student Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.