# JASPER DOCTORS CLINIC AND URGENT CARE INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831353846
- **Authorized official:** BOLANLE O. GBADEBO M.D (OWNER)
- **Authorized official phone:** (205) 295-0002

## Contact information

- **Practice address:** 4330 HIGHWAY 78 E STE 115, MEDICAL PLAZA EAST 114-115, JASPER, AL 35501-8955
- **Practice address phone:** (205) 295-0002
- **Practice address fax:** (205) 295-0991
- **Mailing address:** 4330 HIGHWAY 78 E STE 115, MEDICAL PLAZA EAST 114-115, JASPER, AL 35501-8955
- **Mailing address phone:** (205) 295-0002
- **Mailing address fax:** (205) 295-0991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MEDICAID 102173 | AL | Yes |

## Other

- **Enumeration date:** 07/18/2008
- **Last updated:** 07/21/2008