Active NPI
Birmingham VA Medical Ctr.
- Chronic Disease Hospital
- Birmingham, AL
National Provider Identifier
1023039849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Disease Hospital
- License
- 24765
- Legal business name
- BIRMINGHAM VA MEDICAL CTR.
- Practice address
- 700 19TH St S
Birmingham, AL 35233-1927 - Phone
- (205) 933-8101
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Warren Blackburn, MD
- Title
- Assoc. Chief of Staff
- Phone
- (205) 933-8101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Disease Hospital | 281P00000X | 24765 | AL | Primary |
Addresses
Primary practice location
700 19TH St S
Birmingham, AL 35233-1927
Mailing address
80 Brook Green LN
Indian Springs, AL 35124-3204
Phone (205) 403-9269
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230076800000",
"number": "1023039849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 BROOK GREEN LN",
"city": "INDIAN SPRINGS",
"state": "AL",
"postal_code": "351243204",
"telephone_number": "205-403-9269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331927",
"telephone_number": "205-933-8101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIRMINGHAM VA MEDICAL CTR.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2008-12-24",
"status": "A",
"authorized_official_last_name": "BLACKBURN",
"authorized_official_first_name": "WARREN",
"authorized_official_title_or_position": "ASSOC. CHIEF OF STAFF",
"authorized_official_telephone_number": "205-933-8101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "281P00000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital",
"state": "AL",
"license": "24765",
"primary": true
}
],
"identifiers": [],
"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 Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.