Healthcare Provider Details

I. General information

NPI: 1679364715
Provider Name (Legal Business Name): FAMILY MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 13TH AVE N
BESSEMER AL
35020-3246
US

IV. Provider business mailing address

1819 13TH AVE N
BESSEMER AL
35020-3246
US

V. Phone/Fax

Practice location:
  • Phone: 205-424-3194
  • Fax: 205-424-3180
Mailing address:
  • Phone: 205-424-3194
  • Fax: 205-424-3180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY J BOLUS
Title or Position: VP CLINICAL SERVICES
Credential: PHARMD, RPH
Phone: 205-424-3194