CAPITAL CITY GASTROENTEROLOGY PC NPI 1073587523

NPI Information

  • NPI: 1073587523
  • Provider Name: CAPITAL CITY GASTROENTEROLOGY, PC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Doing Business As: CAPITAL CITY GATSROENTEROLOGY
  • Address: 4126 CARMICHAEL CT
    MONTGOMERY, AL
    ZIP 36106
  • Phone: (334) 495-2600

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NPI Details

CAPITAL CITY GASTROENTEROLOGY, PC is a gastroenterology internal medicine in Montgomery, AL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. CAPITAL CITY GASTROENTEROLOGY, PC NPI is 1073587523. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capital City Gatsroenterology.

The provider's business location address is:

4126 CARMICHAEL CT
MONTGOMERY, AL
ZIP 36106-871
Phone: (334) 495-2600
Fax: (334) 495-2604

The provider's authorized official is Chandi Butler .
The authorized official title is Administrator and has the following contact phone number (334) 239-9257.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 8/9/2019.

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
1207RG0100XInternal MedicineGastroenterologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101D1026965OTHERCLIA WAIVER

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: 3/30/2025

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