DR. LARRY KEITH SCARBOROUGH M. D. NPI 1689658718

NPI Information

NPI: 1689658718
Provider Name: DR. LARRY KEITH SCARBOROUGH, M. D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4055 AL HIGHWAY 9
SUITE F
CEDAR BLUFF, AL
ZIP 35959
Phone: (256) 779-6057
Get Directions

DR. Larry Keith Scarborough, M. D. is a family medicine in Cedar Bluff, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Larry Keith Scarborough, M. D. NPI is 1689658718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4055 AL HIGHWAY 9
SUITE F
CEDAR BLUFF, AL
ZIP 35959-099
Phone: (256) 779-6057

The NPI 1689658718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 5/1/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		18421	TENNESSEE	No
2	207Q00000X	Family Medicine		11701	ALABAMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0004197385	OTHER	ALABAMA	AETNA
2	84460	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
3	510-84460	OTHER	ALABAMA	BLUE CROSS
4	62-1334345	OTHER	ALABAMA	ALL OTHER INSURANCE CO
5	A99392	MEDICARE UPIN	ALABAMA
6	0110485	OTHER	ALABAMA	UNITEDHEALTH

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

NPI Synchronization or Removal

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