NPIMap

Organization Active NPI

Gadsden Regional Primary Care LLC

  • Family Medicine Physician
  • Rainbow City, AL
National Provider Identifier
1972566743
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GADSDEN REGIONAL PRIMARY CARE LLC
Practice address
3212 Rainbow Dr
Rainbow City, AL 35906-5805
Phone
(256) 442-7683
NPI assigned
Apr 11, 2006
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Debbie Brewer
Title
Director of Provider Enrollment
Phone
(615) 465-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3212 Rainbow Dr
Rainbow City, AL 35906-5805

Mailing address

3212 Rainbow Dr
Rainbow City, AL 35906-5805
Phone (256) 442-7683

National Provider Directory

National Provider Directory

Locations

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1972566743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 RAINBOW DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065805",
            "telephone_number": "256-442-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 RAINBOW DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065805",
            "telephone_number": "256-442-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN REGIONAL PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.