NPI 1215419122 · live from the CMS NPI Registry
Bayside Orthopedic & Rehabilitation Center, P.C.
Orthopaedic Surgery in Brewton, AL. National Provider Identifier 1215419122, active.
NPI record
| NPI | 1215419122 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1121 Belleville Ave Ste A, Brewton, AL 36426 |
| Practice phone | 251-928-2401 |
| Mailing address | Po Box 1186, Fairhope, AL 36533 |
| Enumerated | September 6, 2018 |
| Last updated | April 19, 2019 |
| Authorized official | Rachel Ellis, Credentialing |
| Other names | Bayside Orthopaedic, Sports Medicine & Rehabilitation Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation | 208100000X | — |
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.