NPIMap

Organization Active NPI

University of Alabama at Birmingham

  • Psychiatric Hospital Unit
  • Birmingham, AL
National Provider Identifier
1033217708
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
11831 Issued in AL
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Practice address
500 22ND St S
Birmingham, AL 35233-3110
Phone
(205) 934-6249
Fax
(205) 975-9838
NPI assigned
Sep 20, 2006
Last updated
Apr 13, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Mr. Reid Jones
Title
Coo Uab Health System
Phone
(205) 731-9770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 11831 AL Primary

Addresses

Primary practice location

500 22ND St S
Birmingham, AL 35233-3110

Mailing address

500 22ND St S
Birmingham, AL 35233-3110
Phone (205) 934-6249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101105001106 AL Part A Provider - Hospital 3779487970 Practice locations: Birmingham, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033217708. Details of each certification follow.

Hospital certification: CCN 01S033

Legal name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Doing business as
UNIVERSITY OF ALABAMA HOSPITAL UAB
Organization structure
GovernmentNon-profit
Enrollment address
619 19TH Street South
Birmingham, AL 35249-1900
Other Hospital Practice Location
Hospital subgroups
Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Robert T Brown MD48 organizations share this tax ID, including this one
Part of
Robert T Brown MD

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

619 19th St S
#356
Birmingham, AL 35249

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Faulstich Individual Corporate Director Sep 1, 2010
Jeanetta Keller Individual Corporate Director Sep 1, 2010
University at Birmingham Health System Inc Organization, Birmingham, AL Operational/Managerial Control Sep 1, 2010
Mary Beth Briscoe Individual W-2 Managing Employee Sep 1, 2010
Isaac Ferniany Individual Corporate Director Sep 1, 2010

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1033217708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 22ND ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333110",
            "telephone_number": "205-934-6249",
            "fax_number": "205-975-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 22ND ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333110",
            "telephone_number": "205-934-6249",
            "fax_number": "205-975-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REID",
        "authorized_official_title_or_position": "COO UAB HEALTH SYSTEM",
        "authorized_official_telephone_number": "205-731-9770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AL",
            "license": "11831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.