GARY WILSON ARCHER M.D. NPI 1699740241

NPI Information

NPI: 1699740241
Provider Name: GARY WILSON ARCHER, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
810 SAINT VINCENTS DR
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 939-7855
Get Directions

Gary Wilson Archer, M.D. is a diagnostic radiology radiology in Birmingham, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Gary Wilson Archer, M.D. NPI is 1699740241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

810 SAINT VINCENTS DR
BIRMINGHAM, AL
ZIP 35205-601
Phone: (205) 939-7855

The NPI 1699740241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 11/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	9933	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51521228	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
2	51521228	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
3	C76018	MEDICARE UPIN	ALABAMA
4	P00185049	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA	RAILROAD MEDICARE
5	51013095	OTHER	ALABAMA	BLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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