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GBRLLC NPI 1457308512


NPI Information

NPI: 1457308512
Provider Name: GBR,LLC

Doing Business As: TUSCALOOSA NEPHROLOGY ASSOCIATES HOME DIALYSIS TRAINING/SUPPORT CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 01D2015165

Address:
1850 MCFARLAND BLVD N
TUSCALOOSA, AL
ZIP 35406
Phone: (205) 556-5541
Get Directions

GBR,LLC is an end-stage renal disease (esrd) treatment clinic center in Tuscaloosa, AL. GBR,LLC NPI is 1457308512. The provider is registered as an organization entity type.
The provider Is Doing Business As Tuscaloosa Nephrology Associates Home Dialysis Training/support Center.

The provider's business location address is:

1850 MCFARLAND BLVD N
TUSCALOOSA, AL
ZIP 35406-138
Phone: (205) 556-5541
Fax: (205) 554-7937

The provider's authorized official is Dirk Landon Berry .
The authorized official title is Co-owner and has the following contact phone number (205) 556-5541.

The CLIA number assigned to this NPI record is 01D2015165 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 3/10/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentALABAMAYes

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: 5/5/2024

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