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JEFFERSON CLINIC P.C. NPI 1124086509


NPI Information

NPI: 1124086509
Provider Name: JEFFERSON CLINIC, P.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1526 5TH AVE S
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 279-2860
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JEFFERSON CLINIC, P.C. is an internal medicine in Birmingham, AL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JEFFERSON CLINIC, P.C. NPI is 1124086509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1526 5TH AVE S
BIRMINGHAM, AL
ZIP 35233-615
Phone: (205) 279-2860
Fax: (205) 251-7698

The provider's authorized official is Danielle Renee Brown .
The authorized official title is Business Administrator and has the following contact phone number (205) 279-2860.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 1/23/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineALABAMANo
2207RC0200XInternal MedicineCritical Care MedicineALABAMANo
3207RH0003XInternal MedicineHematology & OncologyALABAMANo
4207RP1001XInternal MedicinePulmonary DiseaseALABAMANo
5207V00000XObstetrics & GynecologyALABAMANo
6207W00000XOphthalmologyALABAMANo
7207X00000XOrthopaedic SurgeryALABAMANo
8207Y00000XOtolaryngologyALABAMANo
9207ZP0102XPathologyAnatomic Pathology & Clinical PathologyALABAMANo
102084P0800XPsychiatry & NeurologyPsychiatryALABAMANo
11208600000XSurgeryALABAMANo
122085R0202XRadiologyDiagnostic RadiologyALABAMANo
13208800000XUrologyALABAMANo
14208VP0000XPain MedicinePain MedicineALABAMANo
15207R00000XInternal MedicineALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F133MEDICARE UPINALABAMA
2000060093MEDICAIDALABAMA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.