NPIMap

Organization Active NPI

Hayneville Podiatry Clinic

  • Podiatrist
  • Hayneville, AL
National Provider Identifier
1972806867
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
134 Issued in AL
Legal business name
HAYNEVILLE PODIATRY CLINIC
Practice address
221 Hayneville Plaza
Hayneville, AL 36040-0190
Phone
(334) 548-6440
Fax
(334) 548-6441
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Dr. Theresa I Brown, DPM
Title
Ceo
Phone
(334) 271-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 134 AL Primary

Addresses

Primary practice location

221 Hayneville Plaza
Hayneville, AL 36040-0190

Mailing address

PO Box 190
Hayneville, AL 36040-0190
Phone (334) 548-6440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1972806867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "HAYNEVILLE",
            "state": "AL",
            "postal_code": "360400190",
            "telephone_number": "334-548-6440",
            "fax_number": "334-548-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HAYNEVILLE PLAZA",
            "city": "HAYNEVILLE",
            "state": "AL",
            "postal_code": "360400190",
            "telephone_number": "334-548-6440",
            "fax_number": "334-548-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNEVILLE PODIATRY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-271-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayneville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.