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ALEX CITY INTERNAL MEDICINE & NEPHROLOGY NPI 1427188119


NPI Information

NPI: 1427188119
Provider Name: ALEX CITY INTERNAL MEDICINE & NEPHROLOGY
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D1026713

Address:
3368 HIGHWAY 280
SUITE 220
ALEXANDER CITY, AL
ZIP 35010
Phone: (256) 409-1500
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ALEX CITY INTERNAL MEDICINE & NEPHROLOGY is a specialist in Alexander City, 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. ALEX CITY INTERNAL MEDICINE & NEPHROLOGY NPI is 1427188119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3368 HIGHWAY 280
SUITE 220
ALEXANDER CITY, AL
ZIP 35010-393
Phone: (256) 409-1500
Fax: (256) 409-1144

The provider's authorized official is Dimtcho V Popov .
The authorized official title is Physician Owner and has the following contact phone number (256) 409-1500.

The CLIA number assigned to this NPI record is 01D1026713 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 5/5/2014.


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
1174400000XSpecialist20515ALABAMAYes

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
151516344OTHERALABAMABCBS
2G40197MEDICARE UPINALABAMA
3009931175MEDICAIDALABAMA
4051516344MEDICARE ID-TYPE UNSPECIFIEDALABAMAPROVIDER NUMBER

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.