BRENDA LAYTON MCGIVERN


Address: 300 W Pettus St, Demopolis, AL 36732-2830
Phone: 3342895770

BRENDA LAYTON MCGIVERN (NPI# 1033276035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033276035
Entity Type Individual
Full Name BRENDA LAYTON MCGIVERN
Other Name BRENDA ANN LAYTON
Credential DO
Practice Address 300 W Pettus St
Demopolis
AL 36732-2830
Mailing Address Po Box 670
Demopolis
AL 36732-0670
Practice Telephone 3342895770
Practice Fax Number 3342895758
Mailing Telephone 3342895770
Mailing Fax Number 3342895758
Enumeration Date 2007-01-02
Last Update Date 2011-03-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
DO1062 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 107779 05
AL BLUE CROSS 51596280 01

Office Location

Street Address 300 W PETTUS ST
City DEMOPOLIS
State AL
Zip Code 36732-2830

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790336196 Preferred Eye Care LLC Optometrist 931 Highway 80 West, Suite A, Demopolis, AL 36732 2019-09-26
1215454517 Braxton Senior Care Day Training/Habilitation Specialist 307 South Cherry Avenue, Demopolis, AL 36732 2017-08-28
1699206060 Jamie Lynn Tucker Pharmacist 1107 Lillian Lane, Demopolis, AL 36732 2017-03-27
1578717021 Sheila Bouler Pfaffman Counselor 409 North Walnut Avenue, Demopolis, AL 36732 2008-11-11
1609072537 Southeast Cancer Network, Inc Internal Medicine 105 Highway 80 E., Demopolis, AL 36732 2007-06-26
1720102387 Drs. Ketcham and Dismukes Durable Medical Equipment & Medical Supplies 202 Hwy 80 E, Demopolis, AL 36732 2007-03-19
1942356472 Dana Eddins Speech-Language Pathologist 1400 Herbert St, Demopolis, AL 36732 2007-01-26
1083785182 Mary Juanita Shakes Social Worker 205 Herbert Street, Demopolis, AL 36732 2006-11-11
1114006848 Rural Health Medical Program, Inc Clinic/Center 1502 Highway 80 East, Unit A, Demopolis, AL 36732 2006-11-03
1518051788 Judy Cooke Travis Emergency Medicine 123 East Capitol Street, Demopolis, AL 36732 2006-10-03
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588683262 Milton Stanhope Brasfield IIi Pediatrics 105 Hwy 80 East, Suite 205, Demopolis, AL 36732 2006-07-19
1699914770 Demopolis Pediatrics Pediatrics 105 Us Highway 80 E, Suite 205, Demopolis, AL 36732-3605 2009-02-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154810224 Kids Clinic Pediatric and Adolescent Medicine Pediatrics 101 Stephen J White Memorial Blvd, Talladega, AL 35160-2106 2018-05-04
1023452406 Samantha Veronica Hill Pediatrics The University of Alabama At Birmingham, 1600 5th Ave South, Birmingham, AL 35233 2013-04-29
1285960674 Just Kidz Medical LLC Pediatrics 5466 Old Shell Rd, Ste. A, Mobile, AL 36608-3046 2009-10-20
1508011297 Marshall Medical Center South Pediatric Hospital Services Pediatrics 227 Brittany Rd, Guntersville, AL 35976-5766 2008-11-21
1427252766 Medpeds of Dothan Inc Pediatrics 318 Westgate Pkwy Ste 2, Dothan, AL 36303-2963 2007-06-12
1295871556 Evelyn Simpkins Evans Pediatrics Health Services, Inc, 1845 Cherry Street, Montgomery, AL 36107-0365 2007-01-30
1205905361 Imc-pediatric & Adolescent Medicine, LLC Pediatrics 4013 Airport Blvd Ste C, Mobile, AL 36608-2201 2006-11-06
1063511582 Adolescent & Pediatric Associates Pediatrics 2611 Woodley Park Dr, Montgomery, AL 36116-3834 2006-09-21
1629028642 Carmel Health Network Pediatrics 1653 Springhill Ave, Mobile, AL 36604-1404 2006-05-11
1659329191 James Wesley Rabon Pediatrics 420 Cotton Gin Rd, Montgomery, AL 36117-3557 2006-05-05
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City DEMOPOLIS
Zip Code 36732

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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