NPIMap

Organization Active NPI

Medicine Beyond Walls

  • Legal Medicine
  • Bessemer, AL
National Provider Identifier
1841209020
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
24899 Issued in AL
Legal business name
MEDICINE BEYOND WALLS
Practice address
6291 Letson Farms Dr
Bessemer, AL 35022-7025
Phone
(205) 296-6464
Fax
(205) 477-1515
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Antonowsky Demel Coleman, M.D.
Title
Owner
Phone
(205) 296-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 24899 AL Primary

Addresses

Primary practice location

6291 Letson Farms Dr
Bessemer, AL 35022-7025

Mailing address

6291 Letson Farms Dr
Bessemer, AL 35022-7025
Phone (205) 296-6464

National Provider Directory

National Provider Directory

Locations

1808 30th St N
Birmingham, AL 35234
Phone (205) 322-1846

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1841209020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6291 LETSON FARMS DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227025",
            "telephone_number": "205-296-6464",
            "fax_number": "205-477-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6291 LETSON FARMS DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227025",
            "telephone_number": "205-296-6464",
            "fax_number": "205-477-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE BEYOND WALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ANTONOWSKY",
        "authorized_official_middle_name": "DEMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-296-6464",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "24899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.