CLEBURNE MEDICAL CLINIC, INC.
NPI 1104891241
Clinic/Center in Heflin, AL
About Cleburne Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEBURNE MEDICAL CLINIC, INC. (NPI 1104891241) is a healthcare organization registered as a clinic/center in Heflin, Alabama and active in the NPI registry since February 2006. The organization holds a CLIA Microscopy certificate valid through May 10, 2027 and lists Igor Bidikov, President And Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cleburne Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Cleburne Medical Clinic, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 01D0955108
Cleburne Medical Clinic · Heflin, ALFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cleburne Medical Clinic, Inc.'s NPI number?
The NPI number for Cleburne Medical Clinic, Inc. is 1104891241. It was assigned to this organization in the NPPES registry on February 22, 2006.
Where is Cleburne Medical Clinic, Inc. located?
Cleburne Medical Clinic, Inc. is located at 40 Giles St, Heflin, AL 36264. The listed phone number is (256) 463-7454.
What is Cleburne Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Cleburne Medical Clinic, Inc. enrolled in Medicare?
Yes. Cleburne Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cleburne Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Cleburne Medical Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (4) and Infectious Disease (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cleburne Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0955108) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Cleburne Medical Clinic, Inc. was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cleburne Medical Clinic, Inc. · NPI 1104891241
Clinic/Center organization in Heflin, Alabama. Organization record, active in the CMS NPPES registry since February 22, 2006.
## Identity
- **NPI:** 1104891241 (Entity type: Organization)
- **Enumerated:** February 22, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Igor Bidikov, PRESIDENT AND OWNER
## Practice location
- **Address:** 40 GILES ST, Heflin, AL 36264-1738
- **Phone:** (256) 463-7454 · **Fax:** (256) 463-7725
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (4), Infectious Disease (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2008
- **Other identifiers:** Other DB4844 (AL); Other P00108638 (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104891241) · Data from the CMS NPPES public registry.