Organization Active NPI

Florence Alabama Neurology Clinic, Inc

  • Neurology Physician
  • Florence, AL
National Provider Identifier
1790970499
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28182 Issued in AL
Legal business name
FLORENCE ALABAMA NEUROLOGY CLINIC, INC
Practice address
2407 Helton Dr
Florence, AL 35630-1067
Phone
(256) 764-8900
Fax
(256) 764-6666
NPI assigned
Sep 6, 2007
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Mohammed Badr Sultan, MD
Title
Owner
Phone
(256) 764-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 28182 AL Primary

Addresses

Primary practice location

2407 Helton Dr
Florence, AL 35630-1067

Mailing address

2407 Helton Dr
Florence, AL 35630-1067
Phone (256) 764-8900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1790970499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301067",
            "telephone_number": "256-764-8900",
            "fax_number": "256-764-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301067",
            "telephone_number": "256-764-8900",
            "fax_number": "256-764-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE ALABAMA NEUROLOGY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "BADR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-764-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "28182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.