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Organization

BAUER UROLOGY CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRAD L BAUER MD (PHYSICIAN AND 100 OWNER)
(256) 215-3601
Entity
Organization

Contact information

Practice address
125 ALISON DR STE 2, ALEXANDER CITY, AL 35010-4410
(256) 215-3601
Mailing address
PO BOX 159, ALEXANDER CITY, AL 35011-0159
(256) 215-3601

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
22601
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457352684
IND. NPI # FOR DR.BAUER
AL
01
1950797
CCN/JSL ADMINISTRATORS IN
AL
01
51526132
BCBS OF AL PROVIDER #
AL
01
9193345
PHYSICIAN HEALTHCARE SVCS
AL
01
POO276233
PALMETTO GBA - RAILROAD
AL
Enumeration date
09/25/2006
Last updated
08/22/2020
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