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RAULERSON & RAULERSON PHYSICIANS NPI 1073602173


NPI Information

NPI: 1073602173
Provider Name: RAULERSON & RAULERSON PHYSICIANS
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D2083409

Address:
1205 BELLEVILLE AVE
BREWTON, AL
ZIP 36426
Phone: (251) 867-3606
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RAULERSON & RAULERSON PHYSICIANS is a specialist in Brewton, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RAULERSON & RAULERSON PHYSICIANS NPI is 1073602173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1205 BELLEVILLE AVE
BREWTON, AL
ZIP 36426-304
Phone: (251) 867-3606
Fax: (251) 867-3610

The provider's authorized official is James D. Raulerson .
The authorized official title is Ceo/physician and has the following contact phone number (251) 867-3606.

The CLIA number assigned to this NPI record is 01D2083409 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 4/29/2011.


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
1174400000XSpecialistYes

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
151022662OTHERALABAMABC/BS AL AL
2000022662MEDICAIDALABAMA
322662MEDICARE ID-TYPE UNSPECIFIEDALABAMA
478317MEDICARE UPINALABAMA
5891003040MEDICAIDALABAMA
651524734OTHERALABAMABC/BS OF AL
7009969685MEDICAIDALABAMA
8C76963MEDICARE UPINALABAMA
9C79113MEDICARE UPINALABAMA
1051511894OTHERALABAMABC/BS OFAL
11000009768MEDICAIDALABAMA
1251009768OTHERALABAMABC/BS OF AL
1378307MEDICARE UPINALABAMA
149768MEDICARE ID-TYPE UNSPECIFIEDALABAMA

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: 4/28/2024

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.