Organization Active NPI

Birmingham Neuropsychology

  • Clinical Neuropsychologist
  • Vestavia, AL
National Provider Identifier
1003039751
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
819 Issued in AL
Legal business name
BIRMINGHAM NEUROPSYCHOLOGY
Practice address
4260 Cahaba Heights CT Ste 180
Vestavia, AL 35243-5711
Phone
(205) 329-7815
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard L Azrin, PHDNPI 1003905787
Title
Owner
Phone
(205) 329-7815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X 819 AL Primary

Addresses

Primary practice location

4260 Cahaba Heights CT Ste 180
Vestavia, AL 35243-5711

Mailing address

4260 Cahaba Heights CT Ste 180
Vestavia, AL 35243-5711
Phone (205) 329-7815

Other identifiers 4

IdentifierTypeStateIssuer
362466400OtherALUS DEPT. OF LABOR
680013336OtherALRAILROAD MEDICARE
051503120OtherALFEDERAL BLUE CROSS
051501026OtherALBLUE CROSS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051116001085 AL Part B Supplier - Clinic/Group Practice 1153340351 Receives reassigned benefits from 2 practitioners
Practice locations: Vestavia, AL

National Provider Directory

National Provider Directory

Locations

4260 Cahaba Heights Ct
Ste 180
Vestavia, AL 35243
Phone (205) 329-7815

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1003039751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 CAHABA HEIGHTS CT STE 180",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435711",
            "telephone_number": "205-329-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 CAHABA HEIGHTS CT STE 180",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435711",
            "telephone_number": "205-329-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "AZRIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-329-7815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "362466400",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680013336",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS",
            "identifier": "051503120",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "051501026",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.