Bptcare | |
311 Longwood Dr, Sw Huntsville AL 35801-2728 | |
(256) 534-5946 | |
(256) 534-3041 |
Full Name | Bptcare |
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Speciality | Clinic/Center |
Location | 311 Longwood Dr, Sw, Huntsville, Alabama |
Authorized Official Name and Position | Dorothy I Burdine (OWNER/PHYSICAL THERAPIST) |
Authorized Official Contact | 2565345946 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bptcare P.o. Box 1026 Huntsville AL 35807-2728 Ph: (256) 534-5946 | Bptcare 311 Longwood Dr, Sw Huntsville AL 35801-2728 Ph: (256) 534-5946 |
NPI Number | 1003000498 |
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Provider Enumeration Date | 08/29/2007 |
Last Update Date | 10/29/2012 |
Medicare PECOS PAC ID | 9335163138 |
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Medicare Enrollment ID | O20060119000627 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003000498 | NPI | - | NPPES |
890008010 | Medicaid | AL | |
51503661 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | PTH2024 (Alabama) | Primary |
Provider Name | Dorothy D Burdine |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629075965 PECOS PAC ID: 8325062128 Enrollment ID: I20060120000234 |
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