Individual provider Active NPI

Walter George Haynes III, M.D.

  • Neurological Surgery Physician
  • Birmingham, AL
National Provider Identifier
1043263536
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
17510 Issued in AL
Practice address
513 Brookwood Blvd
Ste. 75
Birmingham, AL 35209-6862
Phone
(205) 250-6805
Fax
(205) 250-6580
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 17510 AL Primary
General Practice Physician 208D00000X 17510 AL

Addresses

Primary practice location

513 Brookwood Blvd
Ste. 75
Birmingham, AL 35209-6862

Mailing address

PO Box 830230
Birmingham, AL 35283-0230
Phone (205) 250-6000

Other identifiers 1

IdentifierTypeStateIssuer
000033398MedicaidAL

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
I20100203000226 AL Practitioner - Neurosurgery 1951444629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Neurological Surgery and Spine PCGroup PAC ID 1951771831, 5 clinicians

Practice addresses (Care Compare)

3535 Grandview Pkwy
Suite 150
Birmingham, AL 35243-2027
Phone (205) 250-6805

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion543
Laminectomy or laminotomy (partial removal of spine bones)178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17510ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Neurological Surgery & Spine PC Neurological Surgery CurrentSince Jan 1, 2023 Accepting new patients
Norwood Clinic Inc CurrentSince Mar 8, 1996 Accepting new patients

Locations

513 Brookwood Blvd
Ste 75
Birmingham, AL 35209
Phone (205) 250-6805

2018 Medical Center Dr
Ste 301
Birmingham, AL 35209
Phone (205) 802-6982

3535 Grandview Pkwy
Ste 150
Birmingham, AL 35243
Phone (205) 250-6805

2244 North Rd
Gardendale, AL 35071
Phone (205) 418-1080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIAJCD/Endpoint/BIAJCD
  • FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIAJCD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1043263536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830230",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830230",
            "telephone_number": "205-250-6000",
            "fax_number": "205-250-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "STE. 75",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-250-6805",
            "fax_number": "205-250-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "WALTER",
        "middle_name": "GEORGE",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "17510",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "17510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000033398",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.