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NORTHPORT INTERNAL MEDICINE PC NPI 1558410167


NPI Information

NPI: 1558410167
Provider Name: NORTHPORT INTERNAL MEDICINE PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 01D0301926

Address:
952 ROSE DR
NORTHPORT, AL
ZIP 35476
Phone: (205) 339-8282
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NORTHPORT INTERNAL MEDICINE PC is an internal medicine in Northport, AL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NORTHPORT INTERNAL MEDICINE PC NPI is 1558410167. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

952 ROSE DR
NORTHPORT, AL
ZIP 35476-363
Phone: (205) 339-8282
Fax: (208) 339-0936

The provider's authorized official is Pam H Browne .
The authorized official title is Office Manager and has the following contact phone number (205) 339-8282.

The CLIA number assigned to this NPI record is 01D0301926 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 4/16/2010.


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
1207R00000XInternal Medicine12788ALABAMAYes

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
1010021562OTHERALABAMAMEDICARE TRAVELERS
2528801430MEDICAIDALABAMA
3C73097MEDICARE UPINALABAMA
4000018219MEDICARE PINALABAMA
5H018OTHERALABAMAMEDICARE IDENTIFIER
60410625OTHERALABAMAUNITED HEALTHCARE

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

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