Active NPI
Edward V Colvin, M.D.
- Pediatric Cardiology Physician
- Birmingham, AL
National Provider Identifier
1043248339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 8388
- Practice address
- 1700 6TH Ave S
Ste 9100
Birmingham, AL 35233-1802 - Phone
- (205) 934-4948
- Fax
- (205) 212-3002
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 8388 | AL | Primary |
Addresses
Primary practice location
1700 6TH Ave S
Ste 9100
Birmingham, AL 35233-1802
Mailing address
PO Box 55823
Birmingham, AL 35255-5823
Phone (205) 934-4948
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003278752X | Other | AL | GEORGIA MEDICAID |
| 11368 | Other | HEALTHSPRING | |
| 2510024 | Other | AL | UHC |
| 000012129 | Medicaid | AL | |
| C71653 | Other | VIVA | |
| 00121850 | Other | AL | MISSISSIPPI MEDICAID |
| 510-12129 | Other | AL | BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1043248339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55823",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555823",
"telephone_number": "205-934-4948",
"fax_number": "205-212-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 6TH AVE S",
"address_2": "STE 9100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331802",
"telephone_number": "205-934-4948",
"fax_number": "205-212-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "EDWARD",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "AL",
"license": "8388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA MEDICAID",
"identifier": "003278752X",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRING",
"identifier": "11368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2510024",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000012129",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "C71653",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI MEDICAID",
"identifier": "00121850",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "510-12129",
"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 Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.