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BIRMINGHAM PODIATRY PC NPI 1477695013


NPI Information

NPI: 1477695013
Provider Name: BIRMINGHAM PODIATRY PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
805 ST. VINCENT'S DRIVE
SUITE 420
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 324-8511
Get Directions

BIRMINGHAM PODIATRY PC is a podiatrist in Birmingham, AL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BIRMINGHAM PODIATRY PC NPI is 1477695013. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

805 ST. VINCENT'S DRIVE
SUITE 420
BIRMINGHAM, AL
ZIP 35205-704
Phone: (205) 324-8511
Fax: (205) 324-0319

The provider's authorized official is John L Roberson .
The authorized official title is Owner and has the following contact phone number (205) 324-8511.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 2/8/2010.


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
1213E00000XPodiatristYes

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
1U94924MEDICARE UPINALABAMA
2T68880MEDICARE UPIN
3000070338MEDICAIDALABAMA
4051598947OTHERALABAMABLUE CROSS
5051514505OTHERBLUE CROSS
6T68870MEDICARE UPIN
7T68878MEDICARE UPIN
8051070338OTHERBLUE CROSS
9U975732MEDICARE UPINALABAMA
10051514505MEDICARE PINALABAMA
11000070338MEDICARE PINALABAMA
12000070353MEDICAIDALABAMA
131174562755MEDICAIDALABAMA
140538190002MEDICARE NSCALABAMA
15000070942MEDICARE PINALABAMA
16000070353MEDICARE PINALABAMA
17102I486265MEDICARE PINALABAMA
18051070942OTHERBLUE CROSS
19051070353OTHERBLUE CROSS
20890009900MEDICAIDALABAMA
21000070942MEDICAIDALABAMA

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.