NPIMap

Organization Active NPI

Alabaster Pediatrics LLC

  • Pediatrics Physician
  • Alabaster, AL
National Provider Identifier
1740375724
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ALABASTER PEDIATRICS LLC
Practice address
1004 1St St N Ste 370
Alabaster, AL 35007-8605
Phone
(205) 663-5547
Fax
(205) 663-5547
NPI assigned
Oct 4, 2006
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Ms. Sharon Bohannon
Title
Practice Administrator
Phone
(205) 663-5547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1004 1St St N Ste 370
Alabaster, AL 35007-8605

Mailing address

1004 1St St N Ste 370
Alabaster, AL 35007-8605
Phone (205) 663-5547

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1740375724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N STE 370",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078605",
            "telephone_number": "205-663-5547",
            "fax_number": "205-663-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N STE 370",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078605",
            "telephone_number": "205-663-5547",
            "fax_number": "205-663-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABASTER PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "205-663-5547",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.