MEDICARE: DR. SCOTT W. SIMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	21975	AL
2	207RC0000X	Cardiovascular Disease Physician	21975	AL

General Provider Information

NPI Number	:	1356346852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT W. SIMS MD

Provider Business Mailing Address
First Line	:	PO BOX 241587
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36124-1587
Country	:	US
Telephone Number	:	334-280-1511
Fax Number	:	334-280-1600

Provider Business Practice Location Address
First Line	:	273 WINTON M BLOUNT LOOP
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3507
Country	:	US
Telephone Number	:	334-280-1511
Fax Number	:	334-280-1600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	01/22/2020

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