NPIMap

Organization Active NPI

Gadsden Regional Primary Care LLC

  • Specialist
  • Gadsden, AL
National Provider Identifier
1922030113
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11698 Issued in AL
Legal business name
GADSDEN REGIONAL PRIMARY CARE LLC
Practice address
300 Medical Center Dr
Suite 303
Gadsden, AL 35903-1157
Phone
(256) 494-3033
Fax
(256) 494-3036
NPI assigned
Jul 7, 2006
Organization subpart
Yes
Parent organization
GADSDEN REGIONAL PRIMARY CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Debbie T Brewer
Title
Director of Provider Enrollment
Phone
(615) 465-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 11698 AL Primary

Addresses

Primary practice location

300 Medical Center Dr
Suite 303
Gadsden, AL 35903-1157

Mailing address

7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-7000

Other identifiers 1

IdentifierTypeStateIssuer
051515965OtherALBLUE CROSS BLUE SHIELD AL

Other names 1

  • Ruiz Neurosurgery Clinic, PC Doing business as

National Provider Directory

National Provider Directory
Part of
Gadsdon Reg Primary Care

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1922030113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "615-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR",
            "address_2": "SUITE 303",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031157",
            "telephone_number": "256-494-3033",
            "fax_number": "256-494-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN REGIONAL PRIMARY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GADSDEN REGIONAL PRIMARY CARE LLC",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "11698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "051515965",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruiz Neurosurgery Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.