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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
DO1062 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 107779 | 05 | |
AL | BLUE CROSS | 51596280 | 01 |
Street Address |
300 W PETTUS ST |
City | DEMOPOLIS |
State | AL |
Zip Code | 36732-2830 |
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 |
Find all providers in zip 36732 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
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. |
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 |
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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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.