MULBERRY MEDICAL, LLC (NPI# 1295286300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295286300 |
| Entity Type | Organization |
| Organization Name | MULBERRY MEDICAL, LLC |
| Practice Address |
2100 Chestnut St Montgomery AL 36106-1113 |
| Practice Telephone | 3346764090 |
| Practice Fax Number | 3346764091 |
| Mailing Telephone | 3346764090 |
| Mailing Fax Number | 3346764091 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | KYNARD L ADAMS (OWNER) |
| Authorized Official Telephone | 3342643434 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 10658 | AL | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MULBERRY MEDICAL, LLC | 3 London Terrace, New Rochelle, Ny 10804 |
| Street Address |
2100 CHESTNUT ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382883 | Mulberry Diagnostic Imaging | Radiology | 2100 Chestnut St, Montgomery, AL 36106-1113 | 2005-08-10 |
| 1265976005 | Tracey England | Nurse Practitioner | 2100 Chestnut St, Montgomery, AL 36106-1113 | 2016-12-13 |
| 1386753390 | Diagnostics Management Inc | Specialist | 2100 Chestnut St, Montgomery, AL 36106-1113 | 2006-08-30 |
| 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 | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485150 | Doctors Making Home Visits | Point of Service | 5801 Eastdale Dr, Montgomery, AL 36117-2158 | 2015-04-27 |
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|---|---|---|---|---|
| 1881197861 | O.b. Jackson Inc | Point of Service | 14001 Highway 43 Ste 15, Russellville, AL 35653-2849 | 2018-03-15 |
| 1164973871 | Senior Solutions Management Service | Point of Service | 1274 Hutson Dr, Suite C, Mobile, AL 36609-1317 | 2016-10-18 |
| 1710361829 | A Heartbeat Away | Point of Service | 1416 6th Ave Se, Decatur, AL 35601-4247 | 2015-07-17 |
| 1659687564 | Helping Hands In Home Care LLC | Point of Service | 302 Adams Creek Rd, Chancellor, AL 36316-4806 | 2010-08-30 |
| 1962590174 | Signature In-home Care, Inc. | Point of Service | 1400 Commerce Blvd Ste 26, Anniston, AL 36207-9455 | 2006-10-11 |
| 1952843450 | Integrity Family Care North Alabama LLC | Point of Service | 1041 Balch Rd Ste 300, Madison, AL 35758-8822 | 2016-11-15 |
| 1144673740 | Outpatient Physical Therapy Simon Williamson Clinic | Point of Service | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2016-07-19 |
| 1770932733 | Healthcare Capital Management | Point of Service | 426 School St, Cordova, AL 35550-6000 | 2016-06-09 |
| 1558719278 | Riteaid | Point of Service | 506 E Church St, Atmore, AL 36502-2626 | 2016-06-03 |
| 1689920852 | Gardendale Dental | Point of Service | 2334 Decatur Hwy, Gardendale, AL 35071-2396 | 2012-07-25 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on MULBERRY MEDICAL, LLC.
| 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.