Organization Active NPI

Raulerson & Raulerson Physicians

Doing business as Lower Alabama Pediatrics

  • Rural Health Clinic/Center
  • Brewton, AL
National Provider Identifier
1871654970
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
RAULERSON & RAULERSON PHYSICIANS
Doing business as
Lower Alabama Pediatrics
Practice address
1205 Belleville Ave
Brewton, AL 36426-1304
Phone
(251) 867-3608
Fax
(251) 867-3610
NPI assigned
Dec 12, 2006
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Ms. Marsha Raulerson, MDNPI 1063493690
Title
Physician
Phone
(251) 867-3608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1205 Belleville Ave
Brewton, AL 36426-1304

Mailing address

1205 Belleville Ave
Brewton, AL 36426-1304
Phone (251) 867-3608

Other identifiers 2

IdentifierTypeStateIssuer
541393901MedicaidAL
541003939MedicaidAL

Other names 1

  • Lower Alabama Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

1205 Belleville Ave
Brewton, AL 36426
Phone (251) 867-3606

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1871654970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BELLEVILLE AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261304",
            "telephone_number": "251-867-3608",
            "fax_number": "251-867-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 BELLEVILLE AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261304",
            "telephone_number": "251-867-3608",
            "fax_number": "251-867-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAULERSON & RAULERSON PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "RAULERSON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "251-867-3608",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541393901",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003939",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Alabama Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.