Greater Huntsville Family Practice | |
2089 Cecil Ashburn Drive Suite 101 Huntsville AL 35802 | |
(256) 882-5060 | |
(256) 882-9990 |
Full Name | Greater Huntsville Family Practice |
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Speciality | Family Medicine |
Location | 2089 Cecil Ashburn Drive, Huntsville, Alabama |
Authorized Official Name and Position | Randle T Middleton (OWNER) |
Authorized Official Contact | 2568825060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greater Huntsville Family Practice 2089 Cecil Ashburn Drive Suite 101 Huntsville AL 35802 Ph: (256) 882-5060 | Greater Huntsville Family Practice 2089 Cecil Ashburn Drive Suite 101 Huntsville AL 35802 Ph: (256) 882-5060 |
NPI Number | 1073636650 |
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Provider Enumeration Date | 04/09/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3971529462 |
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Medicare Enrollment ID | O20051024000800 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073636650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bryan D Evans |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558310672 PECOS PAC ID: 1557371572 Enrollment ID: I20120809000885 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
Inspirational Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Market St Ste 100, Huntsville, AL 35808 Phone: 256-210-4925 | |
Gleneagles Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801 Phone: 256-881-5880 Fax: 256-883-3280 | |
Magnolia Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801 Phone: 256-203-6676 Fax: 833-979-0980 | |
Five Points Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801 Phone: 256-714-3363 | |
Davis Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-882-0132 Fax: 256-882-1461 | |
Crestani Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2745 Bob Wallace Ave Sw, Suite D, Huntsville, AL 35805 Phone: 256-534-1323 Fax: 256-534-1780 |