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JERRY JENKINS II DPM NPI 1801069752


NPI Information

NPI: 1801069752
Provider Name: JERRY JENKINS II DPM

Doing Business As: RUSSELLVILLE PODIATRY CENTER

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
533 GANDY ST NE
RUSSELLVILLE, AL
ZIP 35653
Phone: (256) 331-3338
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JERRY JENKINS II DPM is a durable medical equipment medical supplies in Russellville, AL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JERRY JENKINS II DPM NPI is 1801069752. The provider is registered as an organization entity type.
The provider Is Doing Business As Russellville Podiatry Center.

The provider's business location address is:

533 GANDY ST NE
RUSSELLVILLE, AL
ZIP 35653-965
Phone: (256) 331-3338
Fax: (256) 331-2890

The provider's authorized official is Jerry Jenkins .
The authorized official title is Sole Proprietor and has the following contact phone number (256) 331-3338.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 2/4/2013.


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
1332B00000XDurable Medical Equipment & Medical Supplies221ALABAMAYes

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
1000046151MEDICARE PINALABAMA
21297050001MEDICARE NSCALABAMA
3DPM221MEDICAIDALABAMA
4U76110MEDICARE UPINALABAMA

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

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