KRISTEN BROADWAY BUCHNER (NPI# 1639104938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639104938 |
| Entity Type | Individual |
| Full Name | KRISTEN BROADWAY BUCHNER |
| Credential | PT |
| Practice Address |
42nd Medical Group 300 S. Twining Street Montgomery AL 36112 |
| Mailing Address |
300 Twining St Bldg 760 Montgomery AL 36112-6027 |
| Practice Telephone | 3349534415 |
| Practice Fax Number | 3349536646 |
| Mailing Telephone | 3349534415 |
| Mailing Fax Number | 3349536646 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PTH3856 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PTH3856 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51533661 | 01 |
| AL | BLUE CROSS BLUE SHEILD | 515-33661 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Wisteria Place, Millbrook, AL 360541849 | 3342850239 | 3342859689 |
| Street Address |
42ND MEDICAL GROUP 300 S. TWINING STREET |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053774349 | Jane Davis | Physical Therapist | 64 April Wind Dr S, Montgomery, TX 77356-5966 | 2016-04-04 |
| 1538327697 | Step By Step Physical Therapy and Child Development | Physical Therapist | 9213 Stillforest Ct, Montgomery, AL 36117-8408 | 2008-05-27 |
| 1649442559 | Brenda Susan Morrison | Physical Therapist | 525 Buckingham Dr, Montgomery, AL 36116-2738 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922649599 | Susan Thomas French | Physical Therapist | 247 Latigo Loop, Huntsville, AL 35806-1300 | 2019-10-03 |
| 1417370081 | Adventure Pediatric Therapy | Physical Therapist | 10 Forest Dr, Tuscaloosa, AL 35404-3364 | 2014-02-01 |
| 1700215407 | Smfi Therapy, LLC | Physical Therapist | 2301 Old Columbiana Rd, Vestavia, AL 35216-2568 | 2013-11-04 |
| 1124351895 | Stephanie K Orr | Physical Therapist | 1601 6th Ave S, Birmingham, AL 35233-1717 | 2009-09-14 |
| 1386763357 | Margaret Podlesny | Physical Therapist | 2403 Huntington Ln Se, Decatur, AL 35601-4567 | 2007-03-28 |
| 1437284106 | Mary Patrice Murphy | Physical Therapist | 700 Century Park S, Suite 128, Birmingham, AL 35226-3943 | 2007-02-22 |
| 1285789347 | Melinda Wheeler | Physical Therapist | 2002 Mcfarland Blvd E, Suite 209, Tuscaloosa, AL 35404-5805 | 2007-01-25 |
| 1760558225 | Kristye Hall Chastang | Physical Therapist | 39821 Duffee Ln, Bay Minette, AL 36507-6877 | 2006-11-28 |
| 1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
| 1427155084 | Children's Rehab & Therapy Services, Inc. | Physical Therapist | 118 Adris Pl, Dothan, AL 36303-1997 | 2006-09-17 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36112 |
Please comment or provide details below to improve the information on KRISTEN BROADWAY BUCHNER.
| 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.