Active NPI
Bennie Perdue III
- Driver
- Odenville, AL
National Provider Identifier
1962875955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 69 Pin Oak LN
Odenville, AL 35120-6876 - Phone
- (205) 616-0648
- NPI assigned
- Nov 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | AL | Primary |
Addresses
Primary practice location
69 Pin Oak LN
Odenville, AL 35120-6876
Mailing address
69 Pin Oak LN
Odenville, AL 35120-6876
Phone (205) 616-0648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1962875955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 PIN OAK LN",
"city": "ODENVILLE",
"state": "AL",
"postal_code": "351206876",
"telephone_number": "205-616-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 PIN OAK LN",
"city": "ODENVILLE",
"state": "AL",
"postal_code": "351206876",
"telephone_number": "205-616-0648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERDUE",
"first_name": "BENNIE",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-12",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odenville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.