Active NPI
David R Mayer, D.O.
- Family Medicine Physician
- Huntsville, AL
National Provider Identifier
1003946062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-139
- Practice address
- 2903 Wall Triana Hwy Ste 6
Huntsville, AL 35824-1537 - Phone
- (256) 464-9085
- Fax
- (256) 464-0193
- NPI assigned
- Mar 7, 2007
- Last updated
- May 21, 2019
- 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 Medicine Physician | 207Q00000X | DO-139 | AL | Primary |
Addresses
Primary practice location
2903 Wall Triana Hwy Ste 6
Huntsville, AL 35824-1537
Mailing address
2903 Wall Triana Hwy Ste 6
Huntsville, AL 35824-1537
Phone (256) 464-9085
Other practice location 1
12100 County Line Rd Ste A2
Madison, AL 35756-2006
Phone (256) 325-6722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051019362 | Other | AL | BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1003946062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 WALL TRIANA HWY STE 6",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358241537",
"telephone_number": "256-464-9085",
"fax_number": "256-464-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 WALL TRIANA HWY STE 6",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358241537",
"telephone_number": "256-464-9085",
"fax_number": "256-464-0193"
}
],
"practiceLocations": [
{
"address_1": "12100 County Line Rd Ste A2",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "357562006",
"country_code": "US",
"telephone_number": "256-325-6722",
"fax_number": "256-325-6724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYER",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "DO-139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "051019362",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.