| Integrated Medical Group, Llc | |
|
975 9th Ave Sw Ste 200 Bessemer AL 35022-7839 | |
| (205) 519-4201 | |
| Not Available |
| Full Name | Integrated Medical Group, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 975 9th Ave Sw Ste 200, Bessemer, Alabama |
| Authorized Official Name and Position | Lowell Bragg (OWNER) |
| Authorized Official Contact | 2055194201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Group, Llc 975 9th Ave Sw Ste 200 Bessemer AL 35022-7839 Ph: () - | Integrated Medical Group, Llc 975 9th Ave Sw Ste 200 Bessemer AL 35022-7839 Ph: (205) 519-4201 |
| NPI Number | 1306469978 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 05/18/2020 |
| Medicare PECOS PAC ID | 5698192128 |
|---|---|
| Medicare Enrollment ID | O20200829000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306469978 | NPI | - | NPPES |
| 512-26348 | Other | BLUE CROSS /BLUE SHIELD OF ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Lowell Bragg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487759056 PECOS PAC ID: 0547599813 Enrollment ID: I20190911003002 |
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