MEDICINE BEYOND WALLS LLC NPI 1154505386

NPI Information

  • NPI: 1154505386
  • Provider Name: MEDICINE BEYOND WALLS, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 6291 LETSON FARMS DR
    BESSEMER, AL
    ZIP 35022
  • Phone: (205) 296-6464

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NPI Details

MEDICINE BEYOND WALLS, LLC is a specialist in Bessemer, 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. MEDICINE BEYOND WALLS, LLC NPI is 1154505386. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6291 LETSON FARMS DR
BESSEMER, AL
ZIP 35022-025
Phone: (205) 296-6464
Fax: (205) 477-6106

The provider's authorized official is Antonowsky Demel Coleman .
The authorized official title is Owner/medical Director and has the following contact phone number (205) 296-6464.

The enumeration date for this NPI number is 12/24/2007 and was last updated on 12/24/2007.

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
1174400000XSpecialist00024899ALABAMAYes

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: 11/21/2025

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