INFECTIOUS DISEASE SPECIALISTS OF MTG PC (NPI# 1255481230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255481230 |
| Entity Type | Organization |
| Organization Name | INFECTIOUS DISEASE SPECIALISTS OF MTG PC |
| Practice Address |
1801 Pine St Montgomery AL 36106-0165 |
| Mailing Address |
Po Box 242848 Montgomery AL 36124-2848 |
| Practice Telephone | 3342938138 |
| Practice Fax Number | 3342938134 |
| Mailing Telephone | 3342709914 |
| Mailing Fax Number | 3342703195 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | GLENN D BEDSOLE (PRESIDENT - OWNER) |
| Authorized Official Telephone | 3343248893 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 528801490 | 05 |
| Street Address |
1801 PINE ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-0165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063406338 | Carol L Anders | Nurse Practitioner | 1801 Pine St, Suite 204, Montgomery, AL 36106-0165 | 2005-09-01 |
| 1194178772 | Julie Jenkins | Nurse Practitioner | 1801 Pine St, Suite 203, Montgomery, AL 36106-0165 | 2016-07-19 |
| 1588011746 | Jackson Hospital and Clinic Inc. | Surgery | 1801 Pine St, Suite 101, Montgomery, AL 36106-0165 | 2016-05-18 |
| 1679946610 | Jackson Hospital and Clinic Inc | Neurological Surgery | 1801 Pine St, Suite 202, Montgomery, AL 36106-0165 | 2015-11-12 |
| 1346619368 | Jodie Shedd | Nurse Practitioner | 1801 Pine St, Suite 302, Montgomery, AL 36106-0165 | 2015-09-21 |
| 1457634818 | Melissa Briana Myer | Physical Therapist | 1801 Pine St, Suite 102, Montgomery, AL 36106-0165 | 2011-09-22 |
| 1710265905 | Jackson Hospital and Clinic, Inc. | Internal Medicine | 1801 Pine St, Suite 203, Montgomery, AL 36106-0165 | 2011-07-22 |
| 1831486489 | Tiara Hypolite | Internal Medicine | 1801 Pine St, Suite 301, Montgomery, AL 36106-0165 | 2011-07-05 |
| 1326270406 | Phillip K Whatley | Physical Therapist | 1801 Pine St, Suite 102, Montgomery, AL 36106-0165 | 2009-08-21 |
| 1720223027 | Jackson Hospital and Clinic, Inc. | Surgery | 1801 Pine St, Suite 202, Montgomery, AL 36106-0165 | 2008-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376097089 | Jackson Hospital and Clinic Inc. | Internal Medicine | 1722 Pine St, Suite 406, Montgomery, AL 36106-1103 | 2016-08-10 |
| 1770969404 | Mladen Sokanovic | Internal Medicine | 1725 Pine St, Montgomery, AL 36106-1109 | 2015-08-04 |
| 1538229414 | William David Hewitt | Internal Medicine | 2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790 | 2006-12-11 |
| 1184738478 | The University of Alabama At Birmingham | Internal Medicine | 2055 E South Blvd, Suite 202, Montgomery, AL 36116-2002 | 2006-08-17 |
| 1346200516 | Wickliffe J Many Jr. | Internal Medicine | 2055 E South Blvd, Suite 202, Montgomery, AL 36116 | 2006-03-23 |
| 1699755975 | Glenn David Bedsole | Internal Medicine | 1801 Pine St, Montgomery, AL 36106-0165 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831584556 | Lily Colpitts | Internal Medicine | 4704 Cahaba River Rd Ste D, Birmingham, AL 35243-2344 | 2015-03-31 |
| 1750707824 | Scott D Parker Md LLC | Internal Medicine | 250 Chateau Dr Sw Ste 115, Huntsville, AL 35801-3497 | 2014-03-12 |
| 1306109103 | Birmingham Infectious Diseases, PC | Internal Medicine | 4704 Cahaba River Rd Ste 101d, Birmingham, AL 35243-2344 | 2012-06-18 |
| 1699032649 | Jo Hofmann | Internal Medicine | Division of Infectious Diseases, Uab, 1900 University Blvd Tht 215, Birmingham, AL 35233 | 2012-04-16 |
| 1780982546 | Richard A Kaslow | Internal Medicine | 1665 University Blvd, Ryals 220, Birmingham, AL 35294 | 2011-03-03 |
| 1841506870 | Jean Hilaire Vincent | Internal Medicine | 541 W College St Ste 2400, Florence, AL 35630-5320 | 2010-08-27 |
| 1134452279 | Andres Felipe Gutierrez Ordonez | Internal Medicine | 1102 Monroe St Sw, Huntsville, AL 35801-5029 | 2009-09-08 |
| 1003090986 | Jodie Ann Dionne-odom | Internal Medicine | 908 20th Street South 1917 Clinic, Birmingham, AL 35294 | 2007-12-27 |
| 1841494515 | Karen Fagin Md LLC | Internal Medicine | 2000 Pepperell Pkwy Bldg 190, Opelika, AL 36801-5452 | 2007-06-14 |
| 1578624508 | Greer Anne Burkholder | Internal Medicine | 908 South 20th Street, Ccb 2nd Floor, Birmingham, AL 35294-2050 | 2006-12-13 |
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| City | MONTGOMERY |
| Zip Code | 36106 |
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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.