MONTGOMERY PEDIATRIC ASSOC P.A. NPI 1770532681

NPI Information

MONTGOMERY PEDIATRIC ASSOC, P.A. is an adolescent medicine pediatrics in Montgomery, AL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. MONTGOMERY PEDIATRIC ASSOC, P.A. NPI is 1770532681. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

420 COTTON GIN RD
MONTGOMERY, AL
ZIP 36117-557
Phone: (334) 260-9129
Fax: (334) 260-9665

The provider's authorized official is Vikki Berry .
The authorized official title is Office Manager and has the following contact phone number (334) 260-9129.

The CLIA number assigned to this NPI record is 01D0688523 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 4/15/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.