ALABAMA NEUROLOGICAL CLINIC PC (NPI# 1407962194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407962194 |
| Entity Type | Organization |
| Organization Name | ALABAMA NEUROLOGICAL CLINIC PC |
| Practice Address |
2010 Normandie Drive Montgomery AL 36111-0368 |
| Mailing Address |
Po Box 11368 2010 Normandie Drive Montgomery AL 36111-0368 |
| Practice Telephone | 3342817280 |
| Practice Fax Number | 3342810042 |
| Mailing Telephone | 3342817280 |
| Mailing Fax Number | 3342810042 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEPHEN RAY BRYAN (NEUROLOGIST PRESIDENT OF COMPANY) |
| Authorized Official Telephone | 3342817280 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
2010 NORMANDIE DRIVE |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36111-0368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
| 1952609505 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Psychiatry & Neurology | 4225 Narrow Lane Road, Montgomery, AL 36111 | 2011-03-07 |
| 1801082839 | River Region Hospital | Psychiatric Hospital | 4385 Narrow Lane Road, Montgomery, AL 36111 | 2007-09-24 |
| 1942330568 | Jefferson Underwood, IIi, Md, PC | Internal Medicine | 2173 Normandie Dr, Montgomery, AL 36111 | 2007-03-06 |
| 1659456606 | Jefferson Underwood | Internal Medicine | 2171 Normandie Dr, Montgomery, AL 36111 | 2006-10-26 |
| 1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
| 1669573465 | Bennie R Hamner | Surgery | 2027 Normandie Drive, Montgomery, AL 36111 | 2006-09-26 |
| 1689651408 | Montgomery Aids Outreach, Inc. | Clinic/Center | 2900 Mcgehee Rd, Montgomery, AL 36111 | 2005-12-22 |
| Find all providers in zip 36111 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376951145 | Sanath B Kasi Reddy | Psychiatry & Neurology | 2065 E South Blvd Ste 301, Montgomery, AL 36116-2458 | 2014-07-24 |
| 1952609505 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Psychiatry & Neurology | 4225 Narrow Lane Road, Montgomery, AL 36111 | 2011-03-07 |
| 1427218114 | Gregory Robin Lipscomb | Psychiatry & Neurology | 3188 Parliament Cir Ste 802, Montgomery, AL 36116-7271 | 2008-06-16 |
| 1730295411 | William Joseph Leuschke | Psychiatry & Neurology | 2065 E South Blvd Ste 201, Montgomery, AL 36116-2460 | 2006-08-22 |
| 1124069125 | Reuben C Richardson IIi | Psychiatry & Neurology | 300 Taylor Rd Ste 400, Montgomery, AL 36117-3505 | 2006-06-09 |
| 1689675936 | Stephen Patrick Suggs | Psychiatry & Neurology | 4225 Narrow Lane Rd, Montgomery, AL 36111-2649 | 2005-08-09 |
| 1104827013 | Margaret Sellers-bok | Psychiatry & Neurology | 1110 Westmoreland Ave, Montgomery, AL 36106-2016 | 2005-08-02 |
| 1982216867 | Tanya Shemika Shipman | Psychiatry & Neurology | 1315 Mulberry St, Montgomery, AL 36106-1132 | 2020-08-20 |
| 1801351291 | Moonlight Diagnostics LLC | Psychiatry & Neurology | 3188 Parliament Cir Ste 802, Montgomery, AL 36116-7271 | 2019-02-10 |
| 1104231257 | Tijil Agarwal | Psychiatry & Neurology | 2065 E South Blvd Ste 201, Montgomery, AL 36116-2460 | 2014-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36111 |
Please comment or provide details below to improve the information on ALABAMA NEUROLOGICAL CLINIC PC.
| 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.