Deborah Booher Kolb, M.D., P.C.

Key facts

NPI: 1982913463
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: DEBORAH BOOHER KOLB, M.D., P.C.
Practice address: 8371 Highway 72 W
Suite 200
Madison, AL 35758-9505
Phone: (256) 722-0664
Fax: (256) 722-0285
NPI assigned: Sep 30, 2010
Organization subpart: No

Authorized official

Name: Deborah Booher Kolb, M.D. NPI 1063493153
Title: Owner
Phone: (256) 722-0664

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Deborah Booher Kolb, M.D. Family Medicine Physician · Madison, AL · NPI 1063493153

NPD (past) Authorized official FAMILY MEDICINE

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Q00000X			Yes

Addresses

Primary practice location

8371 Highway 72 W
Suite 200
Madison, AL 35758-9505

Mailing address

8371 Highway 72 W
Suite 200
Madison, AL 35758-9505
Phone (256) 722-0664

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 30, 2010.

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1982913463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371 HIGHWAY 72 W",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589505",
            "telephone_number": "256-722-0664",
            "fax_number": "256-722-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 HIGHWAY 72 W",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589505",
            "telephone_number": "256-722-0664",
            "fax_number": "256-722-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH BOOHER KOLB, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "BOOHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-722-0664",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

All providers in Madison, AL · Family Medicine Physician in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.