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EAST ALABAMA UROLOGY ASSOCIATES P.A. NPI 1770685588


NPI Information

NPI: 1770685588
Provider Name: EAST ALABAMA UROLOGY ASSOCIATES, P.A.

Doing Business As: EAST ALABAMA UROLOGY ASSOCIATES

Classification: Urology - 208800000X
Entity Type: Organization
Address:
121 N 20TH ST STE 19
OPELIKA, AL
ZIP 36801
Phone: (334) 749-8146
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EAST ALABAMA UROLOGY ASSOCIATES, P.A. is an urology in Opelika, AL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. EAST ALABAMA UROLOGY ASSOCIATES, P.A. NPI is 1770685588. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Alabama Urology Associates.

The provider's business location address is:

121 N 20TH ST STE 19
OPELIKA, AL
ZIP 36801-456
Phone: (334) 749-8146
Fax: (334) 737-6432

The provider's authorized official is Bonnie Keller .
The authorized official title is Administrator and has the following contact phone number (334) 749-8146.

The enumeration date for this NPI number is 9/2/2006 and was last updated on 2/14/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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
1D842MEDICARE PINALABAMA
20769290001MEDICARE NSCALABAMA
3CD4553MEDICARE PINALABAMA
4529700320MEDICAIDALABAMA

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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