OrganizationActive
Advanced Urology of Montgomery Real Estate Holdings LLC
NPI 1396450060 · Urology Physician · Montgomery, AL
Provider details
- NPI number
- 1396450060
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Richardson, President(251) 454-5449
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4216 Carmichael Rd
Montgomery, AL 36106-2804
Phone: (334) 549-2712
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 241461
Montgomery, AL 36124-1461
Registry dates
- Enumerated
- 2023-01-17
- Last updated
- 2023-01-17
- Certified
- 2023-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.