|Provider Name||BOBBY R LEWIS MD|
|Provider Location Address||3029 ALLISON BONNETT MEMORIAL DR BESSEMER, AL 35023|
|Provider Mailing Address||PO BOX 55310 BIRMINGHAM, AL 35255|
|NPI Entity Type||Individual|
|Medical School Name||OTHER|
|Is Sole Proprietor?||No|
|Is Organization Subpart?||N/A|
|Last Update Date||05-06-2011|
BOBBY R LEWIS MD
3029 ALLISON BONNETT MEMORIAL DR
Phone: (205) 497-4083
BOBBY R LEWIS MD
PO BOX 55310
Phone: (205) 731-9701
Fax: (205) 297-9411
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
|No.||Taxonomy Code||Type||Classification||Specialization||License No.||State||Primary|
|1||204E00000X||Allopathic & Osteopathic Physicians||Oral & Maxillofacial Surgery||8498||AL||No|
Taxonomy Description: oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
|2||207P00000X||Allopathic & Osteopathic Physicians||Emergency Medicine||MD.8498||AL||No|
Taxonomy Description: an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
|3||207PE0004X||Allopathic & Osteopathic Physicians||Emergency Medicine||Emergency Medical Services||8498||AL||No|
Taxonomy Description: an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
|Identifier||Type / Code||Identifier State|
|510I930615||MEDICARE PIN (08)||AL|
|C72515||MEDICARE UPIN (02)||AL|
|P00722645||MEDICARE PIN (08)||AL|
|102I938457||MEDICARE PIN (08)||AL|
|000011325||MEDICARE ID-TYPE UNSPECIFIED (04)||AL|
Other Providers at the same location
The following 2 providers are registered at the same or nearby location.
|NPI||Name / Type||Taxonomy||Address|
|1881952786|| JULIE KEMP |
|Nurse Practitioner (Family)||3029 ALLISON BONNETT MEMORIAL DR |
HUEYTOWN, AL 35023
|1295273753||GONOW ALABAMA MANAGEMENT LLC |
|Clinic/Center (Urgent Care)||3029 ALLISON BONNETT MEMORIAL DR |
HUEYTOWN, AL 35023
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is 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. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary 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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.