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BBSMD, P.C.

Details

Name: BBSMD, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 09 Oct 2001 (23 years ago)
Date of dissolution: 02 Sep 2024
Entity Number: 000-219-152
Register Number: 000219152
County: Tallapoosa
Place of Formation: Tallapoosa County
Principal Address: ALEXANDER CITY, AL
Registered Office Street Address: 125 ALISON DRALEXANDER CITY, AL 35010
Registered Office Street Address ZIP Code: 35010
Authorized Capital: 1,000 NPV
Paid Share Capital: $1,000

Activities PEDIATRICS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396756730 2006-08-10 2020-08-22 125 ALISON DR, SUITE 5, ALEXANDER CITY, AL, 350104469, US 125 ALISON DR, SUITE 5, ALEXANDER CITY, AL, 350104469, US

Contacts
Phone +1 256-234-4443
Fax 2562343686

Authorized person
Name DR. BILLY B. SELLERS JR.
Role OWNER
Phone 2562344443

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
License Number 9546
State AL
Is Primary Yes

Other Provider Identifiers
Issuer BCBS PROVIDER NUMBER
Number 51002295
State AL
Issuer BCBS PROVIDER NUMBER
Number 51504902
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BBSMD 401(K) PLAN 2019 631284617 2020-03-25 BBSMD, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562344443
Plan sponsor’s address 5030 D HIGHWAY 280, ALEXANDER CITY, AL, 35010
BBSMD 401(K) PLAN 2018 631284617 2019-06-20 BBSMD, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562344443
Plan sponsor’s address 5030 D HIGHWAY 280, ALEXANDER CITY, AL, 35010
BBSMD 401(K) PLAN 2018 631284617 2019-06-20 BBSMD, P.C. 6
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562344443
Plan sponsor’s address 5030 D HIGHWAY 280, ALEXANDER CITY, AL, 35010
BBSMD 401(K) PLAN 2017 631284617 2018-09-11 BBSMD, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562344443
Plan sponsor’s address 5030 D HIGHWAY 280, ALEXANDER CITY, AL, 35010
BBSMD 401(K) PLAN 2016 631284617 2017-05-25 BBSMD, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562344443
Plan sponsor’s address 5030 D HIGHWAY 280, ALEXANDER CITY, AL, 35010
BBSMD 401(K) PLAN 2015 631284617 2016-06-30 BBSMD, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562344443
Plan sponsor’s address 5030 D HIGHWAY 280, ALEXANDER CITY, AL, 35010

Incorporator

Name Role
SELLERS, B B Incorporator

Agent

Name Role
SELLERS, B B Agent

Related by officers

SELLERS, B B

Alcazar Drug Company

Related by address

ALEXANDER CITY, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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