Active NPI
BHC - Hueytown
- Family Medicine Physician
- Hueytown, AL
National Provider Identifier
1780648881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BHC - HUEYTOWN
- Practice address
- 2800 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1845 - Phone
- (205) 744-4410
- Fax
- (205) 744-6150
- NPI assigned
- Apr 14, 2006
- Last updated
- Feb 26, 2009
- Organization subpart
- Yes
- Parent organization
- BAPTIST HEALTH CENTERS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- G. Scott Fenn
- Title
- Chief Integration Officer
- Phone
- (205) 715-5415
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
2800 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1845
Mailing address
PO Box 830605
Birmingham, AL 35283-0605
Phone (205) 715-5904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529402430 | Medicaid | AL |
National Provider Directory
National Provider Directory- Part of
- Baptist Health Centers LLC
Locations
817 Princeton Ave SW
Ste 120
Birmingham, AL 35211
Phone (205) 781-7123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235606400000",
"number": "1780648881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 830605",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352830605",
"telephone_number": "205-715-5904",
"fax_number": "205-715-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 ALLISON BONNETT MEMORIAL DR",
"city": "HUEYTOWN",
"state": "AL",
"postal_code": "350231845",
"telephone_number": "205-744-4410",
"fax_number": "205-744-6150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHC - HUEYTOWN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC.",
"enumeration_date": "2006-04-14",
"last_updated": "2009-02-26",
"status": "A",
"authorized_official_last_name": "FENN",
"authorized_official_first_name": "G.",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF INTEGRATION OFFICER",
"authorized_official_telephone_number": "205-715-5415"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529402430",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hueytown, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.