Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

University of South Alabama Health Care Authority

Organization Urology Physician · NPI 1417413840

University of South Alabama Health Care Authority is an Urology Physician in Fairhope, Alabama. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

150 S Ingleside St
Fairhope, AL 36532-1803
Phone: (251) 660-5930
Fax: (251) 660-5931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1047 Fairhope Ave, Fairhope, AL 36532-3145 — (251) 660-5930

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1417413840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erica Madison — Credentialing · (251) 318-2681
Other names University Urology; University Urology
NPI enumeratedFebruary 11, 2019
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address3929-1 Airport Blvd, 5th Floor, Room 513, Mobile, AL 36609

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