Julie Marie McKibben, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

MD 29839 Issued in AL

Practice address

4810 Whitesport Cir SW
Suite 215
Huntsville, AL 35801-7419

Phone

(256) 429-4540

Fax

(256) 429-4546

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Julie Marie Bolenbaugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1992781462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 WHITESPORT CIR SW",
            "address_2": "SUITE 215",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017419",
            "telephone_number": "256-429-4540",
            "fax_number": "256-429-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 WHITESPORT CIR SW",
            "address_2": "SUITE 215",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017419",
            "telephone_number": "256-429-4540",
            "fax_number": "256-429-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBEN",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "26530",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AL",
            "license": "MD 29839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BOLENBAUGH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Austin McKechnie, LMSW
• Celia Helen McKechnie, LPC
• Jeffrey W McKee, DPM
• Heather Kathryn McKelvey, RHIA
• Margaret Hendrix McKelvey, D.M.D.
• Anne C. McKinley, M.ED,CCC/SLP
• McKinney Hearing Solutions
• Jennifer B. McKinney, CCC-SLP
• Rylee Mishell McKinney, PA
• Maggie McKissack

• Occupational Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Occupational Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.