NPIMap

Organization Active NPI

Greater Huntsville Family Practice

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1881960631
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18678 Issued in AL
Legal business name
GREATER HUNTSVILLE FAMILY PRACTICE
Practice address
2089 Cecil Ashburn Dr SE
Suite 101
Huntsville, AL 35802-2567
Phone
(256) 882-6487
Fax
(256) 882-9990
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Bryan Dean Evans, MDNPI 1558310672
Title
President
Phone
(256) 882-6487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 18678 AL Primary

Addresses

Primary practice location

2089 Cecil Ashburn Dr SE
Suite 101
Huntsville, AL 35802-2567

Mailing address

2089 Cecil Ashburn Dr SE
Suite 101
Huntsville, AL 35802-2567
Phone (256) 882-6487

National Provider Directory

National Provider Directory
Tax ID family
Greater Huntsville Fam Practic2 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.

Locations

2089 Cecil Ashburn Dr SE
Ste 101
Huntsville, AL 35802
Phone (256) 882-6487

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1881960631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 CECIL ASHBURN DR SE",
            "address_2": "SUITE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022567",
            "telephone_number": "256-882-6487",
            "fax_number": "256-882-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 CECIL ASHBURN DR SE",
            "address_2": "SUITE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022567",
            "telephone_number": "256-882-6487",
            "fax_number": "256-882-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HUNTSVILLE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-882-6487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.