NPIMap

Organization Active NPI

Warehouse Primary Care & Specialty Clinic Inc.

  • Family Medicine Physician
  • Cullman, AL
National Provider Identifier
1851037923
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAREHOUSE PRIMARY CARE & SPECIALTY CLINIC INC.
Practice address
117 2ND Ave SE
Cullman, AL 35055-3511
Phone
(256) 291-8877
Fax
(833) 319-3812
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
William Kiah BrownNPI 1659979995
Title
Owner
Phone
(205) 269-0878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X
Family Medicine Physician 207Q00000X Primary
Rheumatology Physician 207RR0500X

Addresses

Primary practice location

117 2ND Ave SE
Cullman, AL 35055-3511

Mailing address

103 Wedgewood Cir
Cullman, AL 35057-6981
Phone (205) 269-0878

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admin@warehousemed.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220607001998 AL Part B Supplier - Clinic/Group Practice 8527446301 Receives reassigned benefits from 14 practitioners
Practice locations: Cullman, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2262345Warehouse Primary Care & Specialty Clinic Inc117 2ND Avenue SE, Cullman, AL 35055Certificate of waiverJun 12, 2028

National Provider Directory

National Provider Directory

Locations

101 2nd Ave SW
Cullman, AL 35055

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1851037923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WEDGEWOOD CIR",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350576981",
            "telephone_number": "205-269-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 2ND AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553511",
            "telephone_number": "256-291-8877",
            "fax_number": "833-319-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAREHOUSE PRIMARY CARE & SPECIALTY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-269-0878"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@warehousemed.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "general contact for office",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "word, excel or other document",
            "address_1": "117 2nd Ave SE",
            "city": "Cullman",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350553511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.