Bayside Orthopaedic & Rehabilitation Center, P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BAYSIDE ORTHOPAEDIC & REHABILITATION CENTER, P.C.

Doing business as

Bayside Orthopaedic, Sports Medicine & Rehabilitation Center

Practice address

1815 Hand Ave
Bay Minette, AL 36507-4110

Phone

(251) 928-2401

Fax

(251) 928-5099

NPI assigned

Aug 30, 2011

Organization subpart

No

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

Authorized official

Name

Rachel L Ellis

Title

Office Manager

Phone

(251) 928-2401

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bayside Orthopaedic, Sports Medicine & Rehabilitation Center Doing business as

Tax ID family

Bayside Orthopaedic Sports Medicine Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bayside Orthopaedic & Rehabilitation Center, P.C.

  dba Bayside Orthopaedic, Sports Medicine & Rehabilitation Center

  • Orthopaedic Surgery Physician
  • Evergreen, AL
  • NPI 1578844080
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Q. Fisk, P.A.

  • Physician Assistant
  • Fairhope, AL
  • NPI 1609874791
  NPD (past)

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1962783472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1186",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365331186",
            "telephone_number": "251-928-2401",
            "fax_number": "251-928-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074110",
            "telephone_number": "251-928-2401",
            "fax_number": "251-928-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE ORTHOPAEDIC & REHABILITATION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-928-2401"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528700580",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Orthopaedic, Sports Medicine & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayside Orthopaedic, Sports Medicine & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bay Minette Health and Wellness LLC
• Bay Minette Medical Arts Center PC
• Bay Minette Pediatrics (Bay Minette Family Practice)
• Bay Minette Physical Therapy LLC
• Bay Minette Physical Therapy Services
• Michael Earl Bell, PHARM. D
• Brandon Bergeron, MD
• Bernard Scott
• Nikeya Shayree Betts, CRNP
• Brittney Renee Bicksler, D.O.

• Orthopaedic Surgery Physician in Bay Minette, AL
• Providers in Bay Minette, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.