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BRENDA L CASSELBERRY NPI 1568649754


NPI Information

NPI: 1568649754
Provider Name: BRENDA L CASSELBERRY

Doing Business As: AUBURN OPELIKA AMBULATORY-SURG CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2121 EXECUTIVE PARK DR
OPELIKA, AL
ZIP 36801
Phone: (334) 705-0544
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BRENDA L CASSELBERRY is an ambulatory surgical clinic center in Opelika, AL. BRENDA L CASSELBERRY NPI is 1568649754. The provider is registered as an organization entity type.
The provider Is Doing Business As Auburn Opelika Ambulatory-surg Center.

The provider's business location address is:

2121 EXECUTIVE PARK DR
OPELIKA, AL
ZIP 36801-041
Phone: (334) 705-0544
Fax: (334) 705-0531

The provider's authorized official is Brenda L Casselberry .
The authorized official title is Physician / President and has the following contact phone number (334) 705-0544.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 1/7/2009.


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
1332B00000XDurable Medical Equipment & Medical Supplies132ALABAMANo
2261QA1903XClinic/CenterAmbulatory Surgical132ALABAMAYes

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
1U33073MEDICARE UPINALABAMA
2000077574MEDICARE PINALABAMA
351540360OTHERALABAMABCBS - TUSKEGEE
4529912550MEDICAIDALABAMA
51750484358OTHERALABAMANPI - INDIVIDUAL
65043300001OTHERALABAMAPALMETTO - GBA DMERC OPER
7480013769OTHERALABAMAMEDICARE R/R
851540725OTHERALABAMABCBS - OPELIKA

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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