UAB MEDICAL WEST HUEYTOWN
NPI 1376836817
Family Medicine in Hueytown, AL

NPI Status: Active since May 17, 2011

Contact Information

3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL
ZIP 35023
Phone: (205) 491-3299
Fax: (205) 744-8751

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  • Organization
  • Family Medicine
  • CLIA Number: 01D0899685
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2027

About UAB MEDICAL WEST HUEYTOWN

This page provides the complete NPI Profile along with additional information for Uab Medical West Hueytown, a primary care provider established in Hueytown, Alabama operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1376836817 assigned on May 2011. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Uab Medical West Hueytown. The authorized official of this NPI record is Mr. Brandon Slocum (Chief Financial Officer)

NPI
1376836817
Provider Legal Name
MEDICAL WEST HUEYTOWN HEALTH CENTER
Other Organization Name
UAB MEDICAL WEST HUEYTOWN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3004 ALLISON BONNETT MEMORIAL DR HUEYTOWN, AL 35023
Location Phone
(205) 491-3299
Location Fax
(205) 744-8751
Mailing Address
3004 ALLISON BONNETT MEMORIAL DR HUEYTOWN, AL 35023
Mailing Phone
(205) 491-3299
Mailing Fax
(205) 744-8751
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-17-2011
Last Update Date
08-30-2024
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A primary care provider (PCP) like Uab Medical West Hueytown sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRANDON SLOCUM

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(205) 481-7134

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D0899685
Facility Type
Physician Office
Certificate Effective Date
April 05, 2025
Certificate Expiration Date
April 04, 2027
Laboratory Director
MICHAEL A. ROSEMORE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Uab Medical West Hueytown in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376836817
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461631282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 6 + 3 + 1 + 2 + 8 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1376836817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851487417 THOMAS R. BRYANT M.D.
Individual
Family Medicine3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1649670845 JACK THOMPSON DPT
Individual
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993
1558753087 BENJAMIN SINGLETARY PT
Individual
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993
1073941217THERAPY SOUTH HUEYTOWN LLC
Organization
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993
1003841453REBOUND PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Organization
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9889
1104849843 MICHAEL A ROSEMORE D.O.
Individual
Physical Medicine & Rehabilitation3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1083207666 QUINCY AMANDA MARLIN
Individual
Physician Assistant (Medical)3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1962093757 JASON O'DOWD
Individual
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993
1679505465 JONATHAN MIZE MD
Individual
Internal Medicine3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1770644031 CEDRIC LEON HARRIS MD
Individual
Internal Medicine3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1073001301 RONDA LEA FREEMAN CRNP
Individual
Nurse Practitioner3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1114428422 AMBER LEA CROWDER PA-C
Individual
Physician Assistant (Medical)3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1639869373 NOAH TAYLOR DPT
Individual
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993
1760141170 KATELYN OSBORNE
Individual
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993
1104069228DR. LASHAUNDRA MARIE THEDFORD ADLEY MD
Individual
General Practice3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 491-3299
1447040175 VANIYA DAVIS DPT
Individual
Physical Therapist3004 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
(205) 744-9993

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376836817, enumerated in the NPI registry as an "organization" on May 17, 2011

The provider is located at 3004 Allison Bonnett Memorial Dr Hueytown, Al 35023 and the phone number is (205) 491-3299

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 01D0899685 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on May 17, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.