Piedmont Family Practice Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIEDMONT FAMILY PRACTICE CENTER PC

Practice address

25 Roundtree Dr
Piedmont, AL 36272-5893

Phone

(256) 447-9045

Fax

(256) 447-9040

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russell Dean Ulrich, D.O.NPI 1407850126

Title

President

Phone

(256) 447-9045

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Dean Ulrich, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Piedmont, AL
  • NPI 1407850126

  AL, Geriatric Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Nolan D Ulrich, D.O.

  • Family Medicine Physician
  • Piedmont, AL
  • NPI 1659452209

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1700943602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362720450",
            "telephone_number": "256-447-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROUNDTREE DR",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362725893",
            "telephone_number": "256-447-9045",
            "fax_number": "256-447-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT FAMILY PRACTICE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-447-9045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AL",
            "license": "DO-47",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528602460",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardavion Larod Myers
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• Piedmont City
• Piedmont Dental Group LLC
• Piedmont Emergency Rescue
• Piedmont Health Care Center
• Piedmont Kids Care
• Kenneth Lee Pilgreen, M.D.
• Ryan C Price, O.D.
• Jennifer L Proctor, DMD

• All providers in Piedmont, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.