Active NPI
Sunrise Dermatology
- Family Nurse Practitioner
- Mobile, AL
National Provider Identifier
1720452584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1152005
- Legal business name
- SUNRISE DERMATOLOGY
- Practice address
- 70 Midtown Park E
Mobile, AL 36606-4140 - Phone
- (251) 544-6410
- Fax
- (251) 544-6411
- NPI assigned
- Nov 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Russell Freeman, M.D
- Title
- Partner
- Phone
- (251) 544-6410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1152005 | AL | Primary |
Addresses
Primary practice location
70 Midtown Park E
Mobile, AL 36606-4140
Mailing address
70 Midtown Park E
Mobile, AL 36606-4140
Phone (251) 544-6410
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551398400000",
"number": "1720452584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 MIDTOWN PARK E",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064140",
"telephone_number": "251-544-6410",
"fax_number": "251-544-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 MIDTOWN PARK E",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064140",
"telephone_number": "251-544-6410",
"fax_number": "251-544-6411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-17",
"last_updated": "2019-03-01",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "RUSSELL",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "251-544-6410",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1152005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.