St. Vincent's Gardendale Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. VINCENT'S GARDENDALE CLINIC, LLC

Practice address

2217 Decatur Highway
Suite 101
Gardendale, AL 35071-2301

Phone

(205) 418-1200

Fax

(205) 418-1271

NPI assigned

Aug 3, 2012

Last updated

Sep 6, 2017By 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

Brandon Williams

Title

Cfo

Phone

(205) 930-2592

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1992051379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DRIVE EAST",
            "address_2": "BUILDING 46, SUITE 310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-868-6215",
            "fax_number": "205-868-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 DECATUR HIGHWAY",
            "address_2": "SUITE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712301",
            "telephone_number": "205-418-1200",
            "fax_number": "205-418-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT'S GARDENDALE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-930-2592"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Mind Coaching and Consulting, LLC
• Andrea Spears, PHARMD
• Alexandra Spencer, PHARMD
• Victoria Rhugean Spencer, PHARMD
• Spine Group Fyzical LLC (Fyzical Gardendale)
• St. Vincent's Orthopedics, PC (Hughston Clinic Orthopaedics)
• Statewide Healthcare Services, Inc (Oxford Healthcare)
• Mary Stephens
• Brooklyn Stevens, RBT
• Brandy N. Stewart, DMD

• Family Medicine Physician in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.