| Bbh Pcn Gardendale | |
|
758 Main St Gardendale AL 35071-2696 | |
| (205) 631-5521 | |
| (205) 631-5540 |
| Full Name | Bbh Pcn Gardendale |
|---|---|
| Speciality | Family Medicine |
| Location | 758 Main St, Gardendale, Alabama |
| Authorized Official Name and Position | Valeta D Neal (PRESIDENT) |
| Authorized Official Contact | 2057155901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bbh Pcn Gardendale 758 Main St Gardendale AL 35071-2696 Ph: (205) 631-5521 | Bbh Pcn Gardendale 758 Main St Gardendale AL 35071-2696 Ph: (205) 631-5521 |
| NPI Number | 1245294339 |
|---|---|
| Provider Enumeration Date | 04/14/2006 |
| Last Update Date | 08/29/2016 |
| Medicare PECOS PAC ID | 6103711882 |
|---|---|
| Medicare Enrollment ID | O20040220000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245294339 | NPI | - | NPPES |
| 529402550 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Terry V Kinnebrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487767216 PECOS PAC ID: 4789579392 Enrollment ID: I20040220000731 |
| Provider Name | Sharon D Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952414781 PECOS PAC ID: 2264417278 Enrollment ID: I20040623000736 |
| Provider Name | J W Pitts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669494068 PECOS PAC ID: 5496778946 Enrollment ID: I20060112000319 |
| Provider Name | Judith Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003138678 PECOS PAC ID: 1153456140 Enrollment ID: I20100427000331 |
| Provider Name | William Dean Sides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215255344 PECOS PAC ID: 4587788161 Enrollment ID: I20100903000057 |
Primary Hydration Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Main St Ste A, Gardendale, AL 35071 Phone: 205-285-3766 Fax: 205-270-4989 | |
Vincentian Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2217 Decatur Hwy, Gardendale, AL 35071 Phone: 205-418-1200 | |
Priority Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Sierra Ct, Gardendale, AL 35071 Phone: 205-612-7330 | |
American Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Odum Road, Gardendale, AL 35071 Phone: 205-631-6834 Fax: 205-631-0273 | |
Brookwood Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2117 Decatur Highway, Suite 131, Gardendale, AL 35071 Phone: 205-418-1270 Fax: 205-418-1271 | |
Gardendale Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2244 North Rd, Gardendale, AL 35071 Phone: 205-631-6216 |