# UNIVERSITY OF SOUTH ALABAMA

> 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
- **Other names:** USA Endocrinology- Adult
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972963064
- **Authorized official:** GLEN OWEN BAILEY (CEO)
- **Authorized official phone:** (251) 471-7118

## Contact information

- **Practice address:** 2451 FILLINGIM ST, MASTIN BLDG 102, MOBILE, AL 36617-2238
- **Practice address phone:** (251) 470-5890
- **Practice address fax:** (251) 471-7925
- **Mailing address:** PO BOX 40480, MOBILE, AL 36640-0480
- **Mailing address phone:** (251) 434-3626
- **Mailing address fax:** (251) 445-2464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 07/21/2022