NPIMap

Organization Active NPI

OB-GYN Associates of Montgomery, P.C.

  • Obstetrics & Gynecology Physician
  • Montgomery, AL
National Provider Identifier
1932278652
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OB-GYN ASSOCIATES OF MONTGOMERY, P.C.
Practice address
495 Taylor Rd
Montgomery, AL 36117-3513
Phone
(334) 279-9333
Fax
(334) 279-9057
NPI assigned
Nov 7, 2006
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Leigh Ann Brooks
Title
Office Manager
Phone
(334) 279-9333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

495 Taylor Rd
Montgomery, AL 36117-3513

Mailing address

495 Taylor Rd
Montgomery, AL 36117-3513
Phone (334) 279-9333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617001012 AL Part B Supplier - Clinic/Group Practice 1355325119 Receives reassigned benefits from 22 practitioners
Practice locations: Montgomery, AL; Prattville, AL; Troy, AL; Wetumpka, AL

National Provider Directory

National Provider Directory

Locations

200 S Memorial Dr
Prattville, AL 36067
Phone (334) 365-6088

630 McQueen Smith Rd N
Prattville, AL 36066
Phone (334) 279-9333

1320 Highway 231 S
Ste 200
Troy, AL 36081

657 Trojan Pkwy
Troy, AL 36079
Phone (334) 279-9333

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1932278652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173513",
            "telephone_number": "334-279-9333",
            "fax_number": "334-279-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173513",
            "telephone_number": "334-279-9333",
            "fax_number": "334-279-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN ASSOCIATES OF MONTGOMERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-279-9333"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.