Organization Active NPI

BHC - Hueytown

  • Family Medicine Physician
  • Hueytown, AL
National Provider Identifier
1780648881
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST HEALTH CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
529402430MedicaidAL

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.

Verify at the official NPI Registry.