Jackson Clinic Urology-Dr Newman

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

8045 Issued in AL

Legal business name

JACKSON CLINIC UROLOGY-DR NEWMAN

Practice address

1722 Pine Street
Suite 903
Montgomery, AL 36106-1158

Phone

(334) 265-6933

Fax

(334) 265-7415

NPI assigned

Jan 17, 2007

Last updated

Dec 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Wells Jr.

Title

Chief Financial Officer

Phone

(334) 293-8000

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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.

• Alfred J Newman Jr., MD PHD

  • Urology Physician
  • Montgomery, AL
  • NPI 1609864867
  Medicare reassignment NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1972655314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 PINE STREET",
            "address_2": "ATTN: PATIENT FINANCIAL SERVICES",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061109",
            "telephone_number": "334-293-8736",
            "fax_number": "334-293-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE STREET",
            "address_2": "SUITE 903",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061158",
            "telephone_number": "334-265-6933",
            "fax_number": "334-265-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON CLINIC UROLOGY-DR NEWMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "334-293-8000",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "8045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVLERS RAILROAD",
            "identifier": "010003281",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "82994",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000082994",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James D Izer, MD
• J and K's Health Services LLC
• J. Michael Karst M.D., P.a.
• Mark Jackman
• Ashleigh Marie Jacks, CRNP
• Jackson Hospital
• Jackson Hospital & Clinic, Inc.
• Jackson Hospital & Clinic, Inc. (Jackson Apothecary Infusion)
• Jackson Hospital & Clinic, Inc. (Jackson General Surgery Wound Care)
• Jackson Hospital & Clinic, Inc. (Jackson Family Medicine Midtown)

• Urology Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Urology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.