Organization Active NPI

Montgomery Family Medicine, PC

Doing business as Montgomery Family Medicine

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1881675536
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONTGOMERY FAMILY MEDICINE, PC
Doing business as
Montgomery Family Medicine
Practice address
8190 Seaton PL
Montgomery, AL 36116-7204
Phone
(334) 396-9100
NPI assigned
Nov 9, 2005
Last updated
Dec 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Mr. Jeff Senft, CMPE
Title
Coo
Phone
(334) 396-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8190 Seaton PL
Montgomery, AL 36116-7204

Mailing address

PO Box 240369
Montgomery, AL 36124-0369
Phone (334) 396-9100

Other names 1

  • MONTGOMERY FAMILY MEDICINE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041011000450 AL Part B Supplier - Clinic/Group Practice 1951361344 Receives reassigned benefits from 6 practitioners
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Fam Med PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBDBA

Practitioners & affiliated clinicians

Practitioners 7

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1881675536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240369",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361240369",
            "telephone_number": "334-396-9100",
            "fax_number": "334-396-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 SEATON PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167204",
            "telephone_number": "334-396-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "SENFT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "334-396-9100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTGOMERY FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.