| Madison Primary Care | |
|
400 Sun Temple Dr Madison AL 35758-5924 | |
| (256) 774-5524 | |
| (256) 774-5523 |
| Full Name | Madison Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 400 Sun Temple Dr, Madison, Alabama |
| Authorized Official Name and Position | Adeel Bodla (PHYSICIAN) |
| Authorized Official Contact | 6266447722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Primary Care 400 Sun Temple Dr Madison AL 35758-5924 Ph: (256) 774-5524 | Madison Primary Care 400 Sun Temple Dr Madison AL 35758-5924 Ph: (256) 774-5524 |
| NPI Number | 1881993210 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 08/01/2023 |
| Medicare PECOS PAC ID | 0042494346 |
|---|---|
| Medicare Enrollment ID | O20110412000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881993210 | NPI | - | NPPES |
| PENDING | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Adeel Bodla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679770267 PECOS PAC ID: 5799838819 Enrollment ID: I20110412000119 |
| Provider Name | Claudia L Acreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225370380 PECOS PAC ID: 3870731375 Enrollment ID: I20130522000446 |
| Provider Name | Fakhra Ahmad-bodla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285762344 PECOS PAC ID: 8527132422 Enrollment ID: I20130617000701 |
| Provider Name | Kristy L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447798616 PECOS PAC ID: 9739456658 Enrollment ID: I20170525000690 |
| Provider Name | Janet Lynn Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972050524 PECOS PAC ID: 4284917030 Enrollment ID: I20170807003460 |
| Provider Name | Angela M Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699862474 PECOS PAC ID: 6204950033 Enrollment ID: I20181121000674 |
| Provider Name | Kelly Baugher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083186506 PECOS PAC ID: 6901147578 Enrollment ID: I20190408002666 |
| Provider Name | Kelly L Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972882504 PECOS PAC ID: 3072786904 Enrollment ID: I20220428001804 |
Dr. Sunita Puri Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8075 Madison Blvd Ste 106, Madison, AL 35758 Phone: 256-464-6004 Fax: 256-464-0403 | |
Custom Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 279 Hughes Rd, Madison, AL 35758 Phone: 256-289-1733 | |
Caswall C Harrigan Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 Phone: 256-426-0802 | |
Heritage Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-990-8446 Fax: 256-461-0393 | |
Tennessee Valley Internal Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3809 Sullivan St, Suite 7, Madison, AL 35758 Phone: 256-428-1096 Fax: 256-428-1097 | |
American Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7559 Hwy 72 W, Madison, AL 35758 Phone: 256-562-0850 Fax: 256-562-0854 | |
Madison Family Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3776 Sullivan St, Suite D, Madison, AL 35758 Phone: 256-325-0302 Fax: 256-325-0391 |