Healthcare Provider Details

I. General information

NPI: 1265373484
Provider Name (Legal Business Name): COASTAL SPINE AND PAIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W PEACHTREE AVE
FOLEY AL
36535-2244
US

IV. Provider business mailing address

150 W PEACHTREE AVE
FOLEY AL
36535-2244
US

V. Phone/Fax

Practice location:
  • Phone: 251-291-2311
  • Fax: 251-257-4784
Mailing address:
  • Phone: 251-291-2311
  • Fax: 251-257-4784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD T WEBB
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 251-291-2311