NPIMap

Organization Active NPI

Health Care Authority for Baptist Health, an Affiliate of Uabhs

Doing business as Montgomery Primary Medicine Associates

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1982653390
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS
Doing business as
Montgomery Primary Medicine Associates
Practice address
2055 E South Blvd
Suite 308
Montgomery, AL 36116-2003
Phone
(334) 286-2390
Fax
(334) 286-2397
NPI assigned
May 10, 2006
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Christine Bruton
Title
Chief Financial Officer
Phone
(334) 273-4447

Specialties & licenses 1

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

Addresses

Primary practice location

2055 E South Blvd
Suite 308
Montgomery, AL 36116-2003

Mailing address

2055 E South Blvd
Suite 308
Montgomery, AL 36116-2003
Phone (334) 286-2390

Other identifiers 2

IdentifierTypeStateIssuer
1982653390OtherALGROUP MEDICARE NPI
529929300MedicaidAL

Other names 1

  • MONTGOMERY PRIMARY MEDICINE ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060220000538 AL Part B Supplier - Clinic/Group Practice 8426076670 Receives reassigned benefits from 447 practitioners
9 other NPIs on this enrollment
Practice locations: Montgomery, AL; Pike Road, AL; Prattville, AL; Wetumpka, AL

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1053616Montgomery Primary Medicine Associates2055 East South Blvd Suite 308, Montgomery, AL 36116Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Medical Center SouthMontgomery, AL, CCN 010023 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Prattville Baptist HospitalPrattville, AL, CCN 010108 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Baptist Medical Center EastMontgomery, AL, CCN 010149 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Baptist Medical Center South, Dba CrossbridgeMontgomery, AL, CCN 01S023 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005
Prattville Baptist Hospital Geriatric Behavioral HealthPrattville, AL, CCN 01S108 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
Baptist HospiceMontgomery, AL, CCN 011500 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2005

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 448

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 448

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1982653390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "address_2": "SUITE 308",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162003",
            "telephone_number": "334-286-2390",
            "fax_number": "334-286-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "address_2": "SUITE 308",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162003",
            "telephone_number": "334-286-2390",
            "fax_number": "334-286-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "334-273-4447"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NPI",
            "identifier": "1982653390",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529929300",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTGOMERY PRIMARY MEDICINE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MONTGOMERY PRIMARY MEDICINE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.