NPIMap

Organization Active NPI

BC OBGYN LLC

  • Clinic/Center
  • Mobile, AL
National Provider Identifier
1972266302
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BC OBGYN LLC
Practice address
1155 Hillcrest Rd
Mobile, AL 36695-3921
Phone
(251) 634-1250
NPI assigned
Oct 21, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Dr. Sharon Marie Bush-Coaxum, MDNPI 1265674196
Title
Owner
Phone
(251) 533-5608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1155 Hillcrest Rd
Mobile, AL 36695-3921

Mailing address

20458 Executive Dr
Tanner, AL 35671-3642
Phone (256) 444-4033

National Provider Directory

National Provider Directory

Locations

1155 Hillcrest Rd
Mobile, AL 36695
Phone (251) 232-3420

Practitioners & affiliated clinicians

Practitioners 1

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": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1972266302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20458 EXECUTIVE DR",
            "city": "TANNER",
            "state": "AL",
            "postal_code": "356713642",
            "telephone_number": "256-444-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 HILLCREST RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953921",
            "telephone_number": "251-634-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "BUSH-COAXUM",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-533-5608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 21, 2021; 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.