Organization Active NPI

Bullock Family Care Center LLC

  • Emergency Medicine Physician
  • Montgomery, AL
National Provider Identifier
1730499906
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BULLOCK FAMILY CARE CENTER LLC
Practice address
5303 Vaughn Road
Montgomery, AL 36116-1120
Phone
(334) 386-0343
Fax
(334) 386-0382
NPI assigned
Oct 20, 2010
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Mrs. Victoria Francis Lawrenson
Title
Managing Partner
Phone
(334) 386-0343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

5303 Vaughn Road
Montgomery, AL 36116-1120

Mailing address

5303 Vaughn Road
Montgomery, AL 36116-1120
Phone (334) 386-0343

National Provider Directory

National Provider Directory

Locations

5303 Vaughn Rd
Montgomery, AL 36116
Phone (334) 386-0343

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1730499906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 VAUGHN ROAD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161120",
            "telephone_number": "334-386-0343",
            "fax_number": "334-386-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 VAUGHN ROAD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161120",
            "telephone_number": "334-386-0343",
            "fax_number": "334-386-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLOCK FAMILY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "LAWRENSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "334-386-0343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.