Montgomery Pediatric Assoc, P.A.

LBN: Montgomery Pediatric Assoc, P.A.
Montgomery Pediatric Assoc, P.A. is an health care organization with primary practice located at 420 Cotton Gin Rd , Montgomery AL 36117-3557. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Montgomery Pediatric Assoc, P.A. can be contacted via phone (334) 260-9129, or through Berry, Vikki via phone (334) 260-9129.

Contact Information

Primary practice address
420 Cotton Gin Rd Montgomery AL 36117-3557
Phone: (334) 260-9129
Fax: (334) 260-9665
Website:
Map and Directions
Authorized official contact:
Name: Berry, Vikki OFFICE MANAGER
Phone: (334) 260-9129

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 00006213 Alabama

Profile Details

NPI number 1770532681
LBN Legal business name Montgomery Pediatric Assoc, P.A.
DBA Doing business as
Authorized official Berry, Vikki OFFICE MANAGER
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Apr 15th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770532681 NPPES
Alabama MEDICAID 528301770

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