Samford University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

SAMFORD UNIVERSITY

Doing business as

Samford University Athletics

Practice address

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

Phone

(205) 726-2811

NPI assigned

Oct 15, 2012

Last updated

Oct 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry B. Brock III

Title

VP, Business & Financial Affairs

Phone

(205) 726-2811

Specialties & licenses 1

Addresses

Other names 1

• Samford University Athletics Doing business as

Locations

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

{
    "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.
• Faria Latif Sami, MD
• Naga Swetha Samji, M.D
• Matthew Allen Sample, M.D.

• Student Health Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• 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.