Christenberry Clinic, P. C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

18413 Issued in AL

Legal business name

CHRISTENBERRY CLINIC, P. C.

Practice address

300 Medical Center Dr
Suite 402
Gadsden, AL 35903-1157

Phone

(256) 492-5002

Fax

(256) 492-5442

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kyle P Christenberry, M.D.NPI 1699845172

Title

Owner

Phone

(256) 492-5002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Kyle Parke Christenberry, M.D.

  • Gynecology Physician
  • Gadsden, AL
  • NPI 1699845172
  Medicare reassignment Authorized official
• Steven L Bayer, MD

  • Gynecology Physician
  • Gadsden, AL
  • NPI 1679619266
  Medicare reassignment

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710027388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR",
            "address_2": "SUITE 402",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031157",
            "telephone_number": "256-492-5002",
            "fax_number": "256-492-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR",
            "address_2": "SUITE 402",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031157",
            "telephone_number": "256-492-5002",
            "fax_number": "256-492-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENBERRY CLINIC, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENBERRY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-492-5002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "18413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Carol Chandler, MCD CCC-SLP
• Chika Franklin Chilaka
• Children and Teen Dental Group of Alabama
• Michael D Chmielewski, DPM
• Choice Medical Healthcare LLC
• Kyle Parke Christenberry, M.D.
• Chris E Christian, PHARMD
• CHS Health Services, LLC
• Elizabeth L. Chua, M.D.
• David Barton Clapp, CRNP

• Specialist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.