Healthcare Provider Details

I. General information

NPI: 1487584660
Provider Name (Legal Business Name): BALDWIN BONE & JOINT P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 N MCKENZIE ST
FOLEY AL
36535-2234
US

IV. Provider business mailing address

1430 N MCKENZIE ST
FOLEY AL
36535-2234
US

V. Phone/Fax

Practice location:
  • Phone: 251-621-4700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA MIZELL
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 888-394-8067