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ADULT & PEDIATRIC MEDICINE PC NPI 1073548004


NPI Information

NPI: 1073548004
Provider Name: ADULT & PEDIATRIC MEDICINE PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 01D0702353

Address:
4825 VIRGINIA LOOP RD
MONTGOMERY, AL
ZIP 36116
Phone: (334) 286-9772
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ADULT & PEDIATRIC MEDICINE PC is a pediatrics in Montgomery, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ADULT & PEDIATRIC MEDICINE PC NPI is 1073548004. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4825 VIRGINIA LOOP RD
MONTGOMERY, AL
ZIP 36116
Phone: (334) 286-9772
Fax: (334) 284-9828

The provider's authorized official is Leatha Barber Morgan .
The authorized official title is Vice President and has the following contact phone number (334) 284-9772.

The CLIA number assigned to this NPI record is 01D0702353 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C76550MEDICARE UPIN
2000083670MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.