NPIMap

Organization Active NPI

Gerhardt and Brackin LLC

  • Orthopaedic Surgery Physician
  • Alabaster, AL
National Provider Identifier
1922104389
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
18153 Issued in AL
Legal business name
GERHARDT AND BRACKIN LLC
Practice address
1004 1St St N
Ste 350
Alabaster, AL 35007
Phone
(205) 663-2103
Fax
(205) 664-3083
NPI assigned
Sep 15, 2006
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Ms. Angel Walton
Title
Billing
Phone
(205) 663-2103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 6542 AL
Orthopaedic Surgery Physician 207X00000X 18153 AL Primary

Addresses

Primary practice location

1004 1St St N
Ste 350
Alabaster, AL 35007

Mailing address

1004 1St St N
Ste 350
Alabaster, AL 35007
Phone (205) 663-2103

Other identifiers 2

IdentifierTypeStateIssuer
529916450MedicaidAL
DA2850OtherALRAILROAD MEDICARE GROUP PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

825 W Washington St
Ste 7
Eufaula, AL 36027
Phone (334) 688-7350

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1922104389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N",
            "address_2": "STE 350",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "35007",
            "telephone_number": "205-663-2103",
            "fax_number": "205-664-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N",
            "address_2": "STE 350",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "35007",
            "telephone_number": "205-663-2103",
            "fax_number": "205-664-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERHARDT AND BRACKIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "205-663-2103",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "6542",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "18153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529916450",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PROVIDER NUMBER",
            "identifier": "DA2850",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.