Baldwin Bone & Joint P C
Organization Active NPI Clinic/Center · Daphne, AL
NPI 1790714459 · NPPES record last updated Jul 2, 2008
Key facts
- NPI
- 1790714459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BALDWIN BONE & JOINT P C
- Practice address
- 1505 Daphne Ave
Daphne, AL 36526-4298 - Phone
- (251) 625-2663
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dorothy McClurg
- Title
- Administrator
- Phone
- (251) 625-2663
Subparts reporting this organization as parent 2
Practitioners 51
-
Kristy Walton Barrentine, ACNP-BC
-
Meagan Canterbury Brown, CRNP
-
George Andrew Corbett, M.D.
-
Leslie B Davis, OTR/L
-
Laura D Estes, DPT
-
Celeste Pierson Fleming, PA-C
-
Darin R Goff, NP
-
Matthew Goldman, MD
-
John Andrew Harcourt, M.D.
-
Rachael Hartman, DPT
-
James W Hicks, MD
-
Kaleigh Hornberger, CRNP
-
Allison Hunter, MD
-
Taylor D Lewis, OTR/L
-
Kelley Patton, P.T.
-
Cesar M Roca Jr., MD
-
Holly Scott, CRNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2048474 | Baldwin Bone & Joint PC | Certificate of waiver | Oct 15, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041110000595 | AL | Part B Supplier - Clinic/Group Practice | 0446213409 |
Receives reassigned benefits from 42 practitioners Practice locations: Foley, AL; Mobile, AL; Spanish Fort, AL; Daphne, AL; Fairhope, AL; Bay Minette, AL; Atmore, AL |
| O20100930011286 | AL | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 0446213409 | Practice locations: Daphne, AL |
National Provider Directory
Locations
1400 N McKenzie St
Foley, AL 36535
Phone (251) 424-1200
10701 Eastern Shore Blvd
Spanish Fort, AL 36527
Phone (251) 625-2663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1505 Daphne Ave
Daphne, AL 36526-4298
Mailing address
1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529910880 | Medicaid | AL |
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.