Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bay Area Oral Surgery PC

Q: What type of organization is Bay Area Oral Surgery PC?

Bay Area Oral Surgery PC is registered in NPPES as a Specialist (its primary provider taxonomy).

Specialist in Mobile, AL · enumerated 2006 · authorized official Jeanne Marzullo, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063457919

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Registry record

Entity type Organization (Type 2)

Legal business name Bay Area Oral Surgery PC

Other name <Unavail>

Practice address 5901 Grelot Rd, Building C, Mobile, AL, 36609

Phone (251) 344-6191

Fax (251) 344-6794

Enumeration date Jun 17, 2006

Last updated in NPPES Aug 22, 2023

Taxonomy & classification

174400000X Specialist Other Service Providers · License 3814 (AL) Primary

174400000X Specialist Other Service Providers · License 4598 (AL) Secondary

174400000X Specialist Other Service Providers · License 5437 (AL) Secondary

Authorized official

Name Jeanne Marzullo

Title Office Manager

Phone (251) 344-6191

Other identifiers

Identifier	Type	State	Issuer
0000090524	Other	AL	BCBS OF AL
257083	Medicaid	AL	-
1021853899	Other	AL	MEDICARE PTAN SHEPPARD
000005454	Other	AL	BCBS
0000094869	Other	AL	BCBS OF AL
0000032729	Other	AL	BCBS OF AL
165624	Medicaid	AL	-
167941	Medicaid	AL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Bay Area Oral Surgery PC?

Bay Area Oral Surgery PC is registered in NPPES as a Specialist (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-22.