Active NPI
Baldwin County Primary Care, LLC
- General Practice Physician
- Foley, AL
National Provider Identifier
1821173485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529916470 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
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.