Active NPI
Zackary Bever
- Family Nurse Practitioner
- Mobile, AL
National Provider Identifier
1003546698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-171987
- Practice address
- 6280 Grelot Rd
Mobile, AL 36609-3614 - Phone
- (251) 288-5606
- NPI assigned
- Jun 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-171987 | AL | Primary |
Addresses
Primary practice location
6280 Grelot Rd
Mobile, AL 36609-3614
Mailing address
1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (200) 554-5508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1143 1St Ave S Apt
Suite 237
Birmingham, AL 35233-1331
1500 1St Ave N
Unit 3
Birmingham, AL 35203-1866
15416 Lyda Steen Dr
Biloxi, MS 39532-7329
PO Box
Nashville, TN 37230
PO Box
Suite 7417
Diberville, MS 39540-7401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-171987 | AL | MD | Family Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Hoover, AL
- NPI 1538686498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1003546698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 1ST AVE N UNIT 3",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352031866",
"telephone_number": "200-554-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6280 GRELOT RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366093614",
"telephone_number": "251-288-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVER",
"first_name": "ZACKARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-171987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.