{
"Npi": {
"NPI": "1831293406",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM",
"ParentOrgTIN": null,
"OrgName": "MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5000 MEDICAL WEST WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BESSEMER",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35022-7082",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-481-7280",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5000 MEDICAL WEST WAY",
"SecondLinePracticeLocationAddress": "5TH FLOOR - REHABILITATION UNIT",
"PracticeLocationAddressCityName": "BESSEMER",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35022-7082",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-481-7280",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/12/2006",
"LastUpdateDate": "09/05/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SLOCUM",
"AuthorizedOfficialFirstName": "BRANDON",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "CFO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "205-481-7134",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "273Y00000X",
"TaxonomyName": "Rehabilitation Hospital Unit",
"LicenseNumber": "12816",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}