Provider Demographics
NPI:1922176973
Name:BAY UROLOGY SERVICES, P.C.
Entity Type:Organization
Organization Name:BAY UROLOGY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:W
Authorized Official - Last Name:STOKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-378-3000
Mailing Address - Street 1:6701 AIRPORT BLVD
Mailing Address - Street 2:STE B111
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6705
Mailing Address - Country:US
Mailing Address - Phone:251-378-3000
Mailing Address - Fax:251-378-3001
Practice Address - Street 1:6701 AIRPORT BLVD
Practice Address - Street 2:STE B111
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6705
Practice Address - Country:US
Practice Address - Phone:251-378-3000
Practice Address - Fax:251-378-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18758208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC70632Medicare UPIN
ALF24285Medicare UPIN
ALK337Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER