Organization Active NPI

Crotwell Orthopedic Clinic

  • Medical Specialty Clinic/Center
  • Mobile, AL
National Provider Identifier
1952197972
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CROTWELL ORTHOPEDIC CLINIC
Practice address
720 Hillcrest Rd Ste B
Mobile, AL 36695-3904
Phone
(251) 272-4934
Fax
(251) 460-5457
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Samantha Freeny
Title
Contracting Agent
Phone
(251) 222-9319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

720 Hillcrest Rd Ste B
Mobile, AL 36695-3904

Mailing address

720 Hillcrest Rd Ste B
Mobile, AL 36695-3904
Phone (512) 724-9342

Other names 1

  • CROTWELL ORTHOPEDIC CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250613000104 AL Part B Supplier - Clinic/Group Practice 2466963855 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

720 Hillcrest Rd
#B
Mobile, AL 36695
Phone (251) 272-4934

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": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1952197972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HILLCREST RD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953904",
            "telephone_number": "512-724-9342",
            "fax_number": "251-460-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HILLCREST RD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953904",
            "telephone_number": "251-272-4934",
            "fax_number": "251-460-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROTWELL ORTHOPEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "FREENY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CONTRACTING AGENT",
        "authorized_official_telephone_number": "251-222-9319"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROTWELL ORTHOPEDIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.