Organization Active NPI

Alabama Orthopedic Care PC

Doing business as Darrell J Potter, MD

  • Specialist
  • Troy, AL
National Provider Identifier
1912044512
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21790 Issued in AL
Legal business name
ALABAMA ORTHOPEDIC CARE PC
Doing business as
Darrell J Potter, MD
Practice address
1018 S Brundidge St
Suite C
Troy, AL 36081-3121
Phone
(334) 566-8881
Fax
(334) 566-7785
NPI assigned
Jan 31, 2007
Last updated
Apr 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Dr. Darrell Jack Potter, MD
Title
President
Phone
(334) 566-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21790 AL Primary

Addresses

Primary practice location

1018 S Brundidge St
Suite C
Troy, AL 36081-3121

Mailing address

1018 S Brundidge St
Suite C
Troy, AL 36081-3121
Phone (334) 566-8881

Other identifiers 2

IdentifierTypeStateIssuer
PO000041005MedicaidAL
POO203874OtherALMEDICARE RAILROAD

Other names 1

  • Darrell J Potter, MD Doing business as

National Provider Directory

National Provider Directory

Locations

1018 S Brundidge St
Ste C
Troy, AL 36081
Phone (334) 566-8881

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1912044512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 S BRUNDIDGE ST",
            "address_2": "SUITE C",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813121",
            "telephone_number": "334-566-8881",
            "fax_number": "334-566-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 S BRUNDIDGE ST",
            "address_2": "SUITE C",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813121",
            "telephone_number": "334-566-8881",
            "fax_number": "334-566-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA ORTHOPEDIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-566-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "21790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO000041005",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "POO203874",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darrell J Potter, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.