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ACTON ROAD PEDIATRICS LLC NPI 1679692123


NPI Information

NPI: 1679692123
Provider Name: ACTON ROAD PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 01D1065860

Address:
2409 ACTON RD
SUITE 171
BIRMINGHAM, AL
ZIP 35243
Phone: (205) 978-8245
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ACTON ROAD PEDIATRICS, LLC is a pediatrics in Birmingham, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ACTON ROAD PEDIATRICS, LLC NPI is 1679692123. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2409 ACTON RD
SUITE 171
BIRMINGHAM, AL
ZIP 35243-940
Phone: (205) 978-8245
Fax: (205) 978-8249

The provider's authorized official is Sheridyn B Breedlove .
The authorized official title is Physician And Partner and has the following contact phone number (205) 978-8245.

The CLIA number assigned to this NPI record is 01D1065860 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.


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
1208000000XPediatricsMD.18441ALABAMAYes

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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