NPIMap

Organization Active NPI

Ag Podiatric Specialist and Associates

  • Foot Surgery Podiatrist
  • Birmingham, AL
National Provider Identifier
1013028828
Registry record updated Jun 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
103 Issued in AL
Legal business name
AG PODIATRIC SPECIALIST AND ASSOCIATES
Practice address
1529 Bessemer Rd
Birmingham, AL 35208-4016
Phone
(205) 925-5272
Fax
(205) 925-5278
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2009

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

Authorized official

Name
Dr. Ronald David Agee, DPMNPI 1982116950
Title
Owner
Phone
(205) 925-5272

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
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 103 AL Primary

Addresses

Primary practice location

1529 Bessemer Rd
Birmingham, AL 35208-4016

Mailing address

1529 Bessemer Rd
Birmingham, AL 35208-4016
Phone (205) 925-5272

Other identifiers 5

IdentifierTypeStateIssuer
069765001OtherALDEMERC PROVIDER NUMBER
P00105372OtherALRAILROAD MEDICARE
000031102OtherALEUFAULA PROVIDER
1013028828OtherALORGANIZATIONAL NPI
2710019OtherALUNITED HEALTH CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080523000428 AL Part B Supplier - Clinic/Group Practice 2264501741 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

624 E Barbour St
Eufaula, AL 36027
Phone (334) 687-3382

Practitioners & affiliated clinicians

Practitioners 4

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244246400000",
    "number": "1013028828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 BESSEMER RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084016",
            "telephone_number": "205-925-5272",
            "fax_number": "205-925-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 BESSEMER RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084016",
            "telephone_number": "205-925-5272",
            "fax_number": "205-925-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG PODIATRIC SPECIALIST AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-06-06",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-925-5272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMERC PROVIDER NUMBER",
            "identifier": "069765001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00105372",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EUFAULA PROVIDER",
            "identifier": "000031102",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1013028828",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2710019",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2009; 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.