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PATRIOT HEALTHCARE OF ALABAMA LLC NPI 1225507692


NPI Information

NPI: 1225507692
Provider Name: PATRIOT HEALTHCARE OF ALABAMA, LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 01D2160398

Address:
ONE WEST LAKESHORE DRIVE
SUITE 250
BIRMINGHAM, AL
ZIP 35209
Phone: (205) 420-8629
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PATRIOT HEALTHCARE OF ALABAMA, LLC is a geriatric medicine family medicine in Birmingham, AL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. PATRIOT HEALTHCARE OF ALABAMA, LLC NPI is 1225507692. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

ONE WEST LAKESHORE DRIVE
SUITE 250
BIRMINGHAM, AL
ZIP 35209
Phone: (205) 420-8629

The provider's authorized official is David A. Culver .
The authorized official title is Administrator and has the following contact phone number (904) 825-4368.

The CLIA number assigned to this NPI record is 01D2160398 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2018 and was last updated on 11/15/2018.


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
1207QG0300XFamily MedicineGeriatric MedicineYes

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: 11/14/2023

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