Healthcare Provider Details

I. General information

NPI: 1023991031
Provider Name (Legal Business Name): GROOMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 WESTCHESTER DR UNIT E
MADISON AL
35758-7112
US

IV. Provider business mailing address

147 WESTCHESTER DR UNIT E
MADISON AL
35758-7112
US

V. Phone/Fax

Practice location:
  • Phone: 256-777-2679
  • Fax:
Mailing address:
  • Phone: 256-777-2679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN GROOMS
Title or Position: PRESIDENT
Credential: DC
Phone: 334-354-7550