B VITALITY PLLC NPI 1558898874

General Practice in Birmingham, AL

About B VITALITY PLLC

B Vitality Pllc is a provider in Birmingham, AL. The NPI number assigned to this provider is 1558898874. The practitioner's primary taxonomy code is General Practice (208D00000X). The provider is registered as an organization and their NPI record was last updated 2 years ago. B Vitality Pllc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Revive Vitality.

NPI

1558898874

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameB VITALITY PLLC
Provider Location Address3425 COLONNADE PKWY STE C BIRMINGHAM, AL 35243 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 242848 MONTGOMERY, AL 36124 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameREVIVE VITALITY Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date05-17-2017 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date05-17-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code208D00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationGeneral Practice
TypeAllopathic & Osteopathic Physicians
License No.17022747
License StateAL

Business Address

B VITALITY PLLC
3425 COLONNADE PKWY STE C
BIRMINGHAM, AL
ZIP 35243
Phone: (205) 588-6700
Fax: (205) 449-4959

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Mailing Address

B VITALITY PLLC
PO BOX 242848
MONTGOMERY, AL
ZIP 36124
Phone:

Authorized Official

Authorized Official NameDR. ROSS BARNETT M.D. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleM.D./OWNER
Authorized Official Phone(205) 588-6700

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

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