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 |
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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 |
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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 |
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Provider Enumeration Date | 05/18/2020 |
Last Update Date | 05/18/2020 |
Medicare PECOS PAC ID | 5698192128 |
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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 |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1487759056 PECOS PAC ID: 0547599813 Enrollment ID: I20190911003002 |
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