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BHC - SHELBY INTERNAL MEDICINE NPI 1316901465


NPI Information

NPI: 1316901465
Provider Name: BHC - SHELBY INTERNAL MEDICINE

Doing Business As: BBH PCN SHELBY 2ND ST

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D2138484

Address:
636 2ND ST NE
ALABASTER, AL
ZIP 35007
Phone: (205) 663-5770
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BHC - SHELBY INTERNAL MEDICINE is a specialist in Alabaster, 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. BHC - SHELBY INTERNAL MEDICINE NPI is 1316901465. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bbh Pcn Shelby 2nd St.

The provider's business location address is:

636 2ND ST NE
ALABASTER, AL
ZIP 35007-817
Phone: (205) 663-5770
Fax: (205) 620-4610

The provider's authorized official is Valeta D Neal .
The authorized official title is President and has the following contact phone number (205) 715-5901.

The CLIA number assigned to this NPI record is 01D2138484 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 9/8/2016.


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
1174400000XSpecialistYes

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
1E829MEDICARE PINALABAMA
2529601490MEDICAIDALABAMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.