Organization Active NPI

FBL Physicians, P.C.

  • Obstetrics & Gynecology Physician
  • Mobile, AL
National Provider Identifier
1780468108
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FBL PHYSICIANS, P.C.
Practice address
171 Mobile Infirmary Blvd
Mobile, AL 36607-3509
Phone
(251) 300-9223
NPI assigned
Aug 24, 2023
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Sharon Bush-Coaxum, MDNPI 1265674196
Title
Partner
Phone
(251) 300-9223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary
Gynecology Physician 207VG0400X NU

Addresses

Primary practice location

171 Mobile Infirmary Blvd
Mobile, AL 36607-3509

Mailing address

171 Mobile Infirmary Blvd
Mobile, AL 36607-3509
Phone (251) 300-9223

Other practice location 1

73 Long St
Millry, AL 36558-4564
Phone (251) 300-9223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209003312 AL Part B Supplier - Clinic/Group Practice 9133655533 Receives reassigned benefits from 4 practitioners
Practice locations: Mobile, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2290020FBL Physicians, P C171 Mobile Infirmary Blvd, Mobile, AL 36607Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory

Locations

1701 Spring Hill Ave
Mobile, AL 36604
Phone (251) 433-8838

Practitioners & affiliated clinicians

Practitioners 5

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": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1780468108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073509",
            "telephone_number": "251-300-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073509",
            "telephone_number": "251-300-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Long St",
            "address_purpose": "LOCATION",
            "city": "Millry",
            "state": "AL",
            "postal_code": "365584564",
            "country_code": "US",
            "telephone_number": "251-300-9223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FBL PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "BUSH-COAXUM",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "251-300-9223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.