Organization Active NPI

Baldwin County Primary Care, LLC

  • General Practice Physician
  • Foley, AL
National Provider Identifier
1821173485
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BALDWIN COUNTY PRIMARY CARE, LLC
Practice address
619 E Laurel Ave
Foley, AL 36535-3301
Phone
(251) 943-5689
Fax
(251) 943-1041
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Sandra R Alexander, M.D.
Title
President
Phone
(251) 943-5689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

619 E Laurel Ave
Foley, AL 36535-3301

Mailing address

619 E Laurel Avenue
Foley, AL 36535-3301
Phone (251) 943-5689

Other identifiers 1

IdentifierTypeStateIssuer
529916470MedicaidAL

National Provider Directory

National Provider Directory

Locations

1709 N Bunner St
Foley, AL 36535
Phone (251) 338-4254

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1821173485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E LAUREL AVENUE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353301",
            "telephone_number": "251-943-5689",
            "fax_number": "251-943-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E LAUREL AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353301",
            "telephone_number": "251-943-5689",
            "fax_number": "251-943-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN COUNTY PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-943-5689",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529916470",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

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