Organization Active NPI

Shelby Baptist Sports Medicine and Family Medicine

  • Specialist
  • Alabaster, AL
National Provider Identifier
1871536946
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SHELBY BAPTIST SPORTS MEDICINE AND FAMILY MEDICINE
Practice address
831 1St St N
Alabaster, AL 35007-8944
Phone
(205) 358-9120
Fax
(205) 358-9121
NPI assigned
Jun 14, 2006
Last updated
May 13, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST HEALTH CENTERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
G. Scott Fenn
Title
Chief Integration Officier
Phone
(205) 715-5415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

831 1St St N
Alabaster, AL 35007-8944

Mailing address

PO Box 830605
Birmingham, AL 35283-0605
Phone (205) 715-5943

National Provider Directory

National Provider Directory
Part of
Baptist Health Centers LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1871536946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830605",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830605",
            "telephone_number": "205-715-5943",
            "fax_number": "205-715-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078944",
            "telephone_number": "205-358-9120",
            "fax_number": "205-358-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY BAPTIST SPORTS MEDICINE AND FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF INTEGRATION OFFICIER",
        "authorized_official_telephone_number": "205-715-5415"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.