BSNR LLC. HARTSELLE VALLEY FAMILY MEDICAL CENTER
NPI 1336800028
Family Medicine in Hartselle, AL

Active since January 04, 2022CLIA 01D2252992 · Waiver
301 PINE ST NW STE B, HARTSELLE, AL 35640(256) 773-5469(256) 773-5425 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2022, Jan 4, 2022 (2 updates tracked since 2022).

About Bsnr Llc. Hartselle Valley Family Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BSNR LLC. HARTSELLE VALLEY FAMILY MEDICAL CENTER (NPI 1336800028) is a healthcare organization registered as a family medicine in Hartselle, Alabama and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through February 15, 2028 and lists Bhavna Gowda, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1336800028
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBSNR LLC. HARTSELLE VALLEY FAMILY MEDICAL CENTER
Location Address301 PINE ST NW STE BHartselle, AL 35640-2339
Mailing Address301 Pine St Nw Ste BHartselle, AL 35640-2339 · (256) 773-5469 · Fax (256) 773-5425
Fax(256) 773-5425
Organization SubpartNo
Authorized OfficialBhavna GowdaOwner/authorized Official · (256) 773-5469
Enumeration DateJanuary 4, 2022
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
✔ NPI 1336800028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
301 PINE ST NW STE B, Hartselle, AL 35640

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bsnr Llc. Hartselle Valley Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bsnr LLC. Hartselle Valley Family Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Family Practice
NPI 1750557518
301 PINE ST NW STE B
Hartselle, AL 35640
(256) 773-5469
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396467742
301 PINE ST NW STE B
Hartselle, AL 35640
(256) 773-5469
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194473215
9044 MADISON BLVD
Madison, AL 35758
(256) 542-3080
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1366388076
125 MANNINGHAM DR
Madison, AL 35758
(586) 876-0581
✔ PECOS22 mi

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 of Waiver 01D2252992

Bsnr LLC Hartselle Valley Family Medical Center · Hartselle, AL
Active · expires Feb 15, 2028
CLIA Number01D2252992
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorBhavna Gowda
Laboratory Phone(256) 773-5469
Laboratory LocationBsnr LLC Hartselle Valley Family Medical Center301 Pine Street NW, Suite B, Hartselle, AL 35640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Bsnr LLC. Hartselle Valley Family Medical Center's NPI number?

The NPI number for Bsnr LLC. Hartselle Valley Family Medical Center is 1336800028. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Bsnr LLC. Hartselle Valley Family Medical Center located?

Bsnr LLC. Hartselle Valley Family Medical Center is located at 301 Pine St NW Ste B, Hartselle, AL 35640. The listed phone number is (256) 773-5469.

What is Bsnr LLC. Hartselle Valley Family Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bsnr LLC. Hartselle Valley Family Medical Center enrolled in Medicare?

Yes. Bsnr LLC. Hartselle Valley Family Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bsnr LLC. Hartselle Valley Family Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Bsnr LLC. Hartselle Valley Family Medical Center. 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 Nurse Practitioner (3) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bsnr LLC. Hartselle Valley Family Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2252992) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bsnr LLC. Hartselle Valley Family Medical Center was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.