Blue Bayou Inc

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

1478 Issued in AL

Legal business name

BLUE BAYOU INC

Practice address

2100 Southbridge Pkwy
Birmingham, AL 35209-1302

Phone

(256) 341-7100

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Gregory Morman

Title

Ceo

Phone

(256) 341-7100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1851649321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091302",
            "telephone_number": "256-341-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091302",
            "telephone_number": "256-341-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BAYOU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "MORMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-341-7100"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AL",
            "license": "1478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan D Blotcky, PH.D.
• Elizabeth Hamlin Blount, NP
• Jeffrey P Blount, MD
• Jeremy Paul Blount, CRNA
• Virginia Bryant Blount, RPH
• Blue Bayou Services Group Inc
• Blue Ridge Healthcare Birmingham LLC
• Blue Vision Center LLC
• Elizabeth Blue
• Latandra Blue, O.D.

• Hospice and Palliative Medicine (Family Medicine) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.