Orthopedic & Sportsmedicine Specialists of Cullman PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

6543 Issued in AL

Legal business name

ORTHOPEDIC & SPORTSMEDICINE SPECIALISTS OF CULLMAN PC

Practice address

1938 Al Highway 157
Suite 101
Cullman, AL 35058-0609

Phone

(256) 739-4030

Fax

(256) 739-5743

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vincent F Bergquist Jr., MD

Title

President

Phone

(256) 739-4030

Specialties & licenses 5

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1891718151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 AL HIGHWAY 157",
            "address_2": "SUITE 101",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-739-4030",
            "fax_number": "256-739-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 AL HIGHWAY 157",
            "address_2": "SUITE 101",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-739-4030",
            "fax_number": "256-739-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTSMEDICINE SPECIALISTS OF CULLMAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "BERGQUIST",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-739-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "AL",
            "license": "00027474",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "6543",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "14798",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "191",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528300730",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Andrew Ojard, M.D.
• Samuel J Oliver, D.M.D.
• Thomas Austin Oliver, DC
• Thomas B Oliver, MD
• Omega Hospice, LLC
• Carrie Elizabeth Jane Osborn, NP-BC
• Alecia Overby, LPC, ADC
• Connor Randall Overby, PMHNP-BC
• Robert Randolph Page III, M.D.
• Mary Pat Pampu, CRNA

• Orthopaedic Surgery Physician in Cullman, AL
• Providers in Cullman, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.