Individual provider Active NPI

John Gullett, MD

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1033324199
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27341 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249-1900
Phone
(205) 934-5038
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27341 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-1900

Mailing address

2412 2ND Ave N
Apt 6
Birmingham, AL 35203-3864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080324000417 AL Practitioner - Emergency Medicine 5597841197 Reassigns benefits to 4 organizations
I20250217002897 OR Practitioner - Emergency Medicine 5597841197 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jan 3, 2016 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Feb 1, 2025 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jun 18, 2021 Accepting new patients
University of Alabama at Birmingham Emergency Medicine CurrentSince Jul 15, 2011 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Aug 1, 2013 Accepting new patients
University of Alabama at Birmingham CurrentSince Jul 15, 2011 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2025 Accepting new patients
Demopolis Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Clanton Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
#291
Birmingham, AL 35249

1806 6th Ave S
Birmingham, AL 35233
Phone (205) 939-9587

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1010 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-3218

1806 6th Ave S
Irondale, AL 35210
Phone (205) 975-7389

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

Interoperability endpoints

  • Direct secure messaging: jgullett@direct.uabmedicine.org
  • Direct secure messaging: john.gullett@direct.baptistfirst.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1033324199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 2ND AVE N",
            "address_2": "APT 6",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLETT",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "27341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.