United Doctors Family Medical Center LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

UNITED DOCTORS FAMILY MEDICAL CENTER LLC

Practice address

235 Bent Brook Dr
Albertville, AL 35951-4107

Phone

(256) 673-0977

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Enrico D Gaspar, M.D.

Title

President

Phone

(256) 673-0977

Specialties & licenses 1

Addresses

Tax ID family

United Doctors Fam Med CR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• United Doctors Family Medical Center LLC

  • Internal Medicine Physician
  • Boaz, AL
  • NPI 1013313709
  NPD tax ID

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405123200000",
    "number": "1982019402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BENT BROOK DR",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359514107",
            "telephone_number": "256-673-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BENT BROOK DR",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359514107",
            "telephone_number": "256-673-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DOCTORS FAMILY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-07-12",
        "status": "A",
        "authorized_official_last_name": "GASPAR",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-673-0977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rural Health Clinic/Center in Albertville, AL
• Providers in Albertville, AL by specialty
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2014; 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.