Organization Active NPI

Trussville Family Healthcare PC

  • Legal Medicine
  • Trussville, AL
National Provider Identifier
1740477389
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
15951 Issued in AL
Legal business name
TRUSSVILLE FAMILY HEALTHCARE PC
Practice address
159 Main St
Trussville, AL 35173-1435
Phone
(205) 655-2110
Fax
(205) 655-7020
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Randolph Lee Lamberson, MD
Title
Ceo
Phone
(205) 655-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 15951 AL Primary

Addresses

Primary practice location

159 Main St
Trussville, AL 35173-1435

Mailing address

159 Main St
Trussville, AL 35173-1435
Phone (205) 655-2110

Other identifiers 1

IdentifierTypeStateIssuer
51001851OtherALBC OF ALABAMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1740477389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MAIN ST",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731435",
            "telephone_number": "205-655-2110",
            "fax_number": "205-655-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MAIN ST",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731435",
            "telephone_number": "205-655-2110",
            "fax_number": "205-655-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSSVILLE FAMILY HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "LAMBERSON",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-655-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "15951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF ALABAMA",
            "identifier": "51001851",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.