NPIMap

Organization Active NPI

HGD, Inc

  • Dermatology Physician
  • Mountain BRK, AL
National Provider Identifier
1902439417
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HGD, INC
Practice address
32 Church St
Mountain BRK, AL 35213-3702
Phone
(251) 401-9076
NPI assigned
Feb 13, 2020
Last updated
Feb 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Holly Gunn, MDNPI 1467655431
Title
Owner
Phone
(251) 401-9076

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
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

32 Church St
Mountain BRK, AL 35213-3702

Mailing address

32 Church St
Mountain BRK, AL 35213-3702
Phone (251) 401-9076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612000387 AL Part B Supplier - Clinic/Group Practice 4789006115 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL; Mountain BRK, AL; Mountain Brook, AL

National Provider Directory

National Provider Directory

Locations

140 Village St
Ste 100
Birmingham, AL 35242
Phone (205) 415-7536

391 Rele St
Mountain Brook, AL 35223
Phone (205) 415-7536

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1902439417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHURCH ST",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133702",
            "telephone_number": "251-401-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHURCH ST",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133702",
            "telephone_number": "251-401-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HGD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-401-9076",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.