Individual provider Active NPI

Warren Jefferson Clingan III, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Birmingham, AL
National Provider Identifier
1033303102
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
29831 Issued in AL
Practice address
924 Montclair Rd Ste 200
Birmingham, AL 35213-1200
Phone
(205) 591-7999
Fax
(205) 591-5051
NPI assigned
Aug 31, 2007
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X E-5373 AR
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 29831 AL Primary

Addresses

Primary practice location

924 Montclair Rd Ste 200
Birmingham, AL 35213-1200

Mailing address

924 Montclair Rd Ste 200
Birmingham, AL 35213-1200
Phone (205) 591-7999

Other practice location 1

1 Independence Plz Ste 900
Birmingham, AL 35209-2643
Phone (205) 271-8000

Other identifiers 2

IdentifierTypeStateIssuer
168511001MedicaidAR
1568516151MedicaidAL

Other names 1

  • Wren Clingan Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000379 AL Practitioner - Pathology 6204907975 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29831ALMDAnatomic Pathology & Clinical Pathology Physician
E-5373ARMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Centers of Alabama PC CurrentSince Dec 4, 2009 Accepting new patients
Cunningham Pathology, LLC Anatomic Pathology & Clinical Pathology CurrentSince Nov 28, 2009 Accepting new patients
Birmingham Gastroenterology Associates PC CurrentSince Nov 1, 2021 Accepting new patients
Urology Centers of Alabama PC CurrentSince Dec 4, 2009 Accepting new patients
Cunningham Pathology, LLC Anatomic Pathology & Clinical Pathology CurrentSince Nov 28, 2009 Accepting new patients
Birmingham Gastroenterology Associates PC CurrentSince Nov 1, 2021 Accepting new patients
Cytopath, PC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

2720 University Blvd
Birmingham, AL 35233
Phone (205) 581-5380

924 Montclair Rd
Ste 200
Birmingham, AL 35213
Phone (205) 591-7999

1 Independence Plz
Homewood, AL 35209
Phone (205) 255-3828

1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953

3485 Independence Dr
Homewood, AL 35209

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

902 Dr Edward Hillard Dr
Tuscaloosa, AL 35401
Phone (205) 758-2794

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1033303102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 MONTCLAIR RD STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131200",
            "telephone_number": "205-591-7999",
            "fax_number": "205-591-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 MONTCLAIR RD STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131200",
            "telephone_number": "205-591-7999",
            "fax_number": "205-591-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Independence Plz Ste 900",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352092643",
            "country_code": "US",
            "telephone_number": "205-271-8000",
            "fax_number": "205-271-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINGAN",
        "first_name": "WARREN",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": "E-5373",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "29831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168511001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568516151",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WREN",
            "last_name": "CLINGAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.