Physical Express
NPI 1043362734ActiveOrganization· Family Medicine· Millbrook, AL
Family Medicine in Millbrook, Alabama, registered in NPPES in January 2007. The authorized official on file is Jade Lane, Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043362734 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2007 |
| Last updated in NPPES | Mar 20, 2025 |
| Certified by provider | Mar 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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