Unknown Individual – Specialist, NPI 1407846082

Specialist

Unknown Individual is a healthcare provider. based in Montgomery, Alabama. specializing in Specialist. They hold a License No. 8667 (AL). The NPI Number for Unknown Individual is 1407846082

Main info

Organization

Inactive

48 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1407846082

Phone

(334) 264-9191

Address

1758 PARK PL

Deactivation Date

29 March 2023

Doctor Profile

Medical School Name

UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE

Secondary Phone

Graduation Year

1978 (48 years ago)

PAC ID

4486826450

Professional Enrollment ID

I20111017000677

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

ParkPlace, Abington, Abington Township, Montgomery County, Pennsylvania, United States
MONTGOMERY, AL 361061133
Phone: (334) 264-9191
Type: Mailing
7104 UNIVERSITY CT STE B
MONTGOMERY, AL 361178045
Phone: (334) 386-0329
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36106)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for Unknown Individual?

The registry entry for Unknown Individual shows NPI 1407846082.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Other Service Providers. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Montgomery, Alabama in registry-derived data.

Who maintains Unknown Individual's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.