Advanced Urology Medical Practice of Montgomery, PLLC
Organization Active NPI Non-Pharmacy Dispensing Site · Montgomery, AL
NPI 1881476844 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1881476844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- ADVANCED UROLOGY MEDICAL PRACTICE OF MONTGOMERY, PLLC
- Practice address
- 4216 Carmichael Rd
Montgomery, AL 36106-2804 - Phone
- (334) 612-7890
- NPI assigned
- Oct 16, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED UROLOGY MEDICAL PRACTICE OF MONTGOMERY, PLLC
Authorized official
- Name
- Michael Ritzus
- Title
- Practice Manager
- Phone
- (334) 549-2712
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
Practitioners 1
-
Brian Richardson, M.D.
National Provider Directory
- Tax ID family
- Advanced Urology Medical Practice of Montgomery PLLC
- Part of
- Advanced Urology Medical Practice of Montgomery PLLC
Locations
4216 Carmichael Rd
Montgomery, AL 36106
Phone (251) 454-5449
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
4216 Carmichael Rd
Montgomery, AL 36106-2804
Mailing address
4216 Carmichael Rd
Montgomery, AL 36106-2804
Phone (334) 612-7890
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All providers in Montgomery, AL · Non-Pharmacy Dispensing Site in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.