Active NPI
Wesley Holland
- Emergency Medicine Physician
- Birmingham, AL
National Provider Identifier
1053161984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 51700
- Practice address
- 625 19TH St S
Birmingham, AL 35233-1900 - Phone
- (205) 934-3640
- NPI assigned
- Mar 25, 2024
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 51700 | AL | Primary |
Addresses
Primary practice location
625 19TH St S
Birmingham, AL 35233-1900
Mailing address
625 19TH St S
Birmingham, AL 35233-1900
Phone (205) 934-3640
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240607001810 | AL | Order and Referring Only - Emergency Medicine | 1850833625 |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Alabama School of Medicine, 2027
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1113 Liberty Park Loop
Vestavia, AL 35242-7551
1643 NW 136 Ave
Sunrise, FL 33323-2857
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51700 | AL | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1053161984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331900",
"telephone_number": "205-934-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331900",
"telephone_number": "205-934-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "WESLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-25",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "51700",
"primary": true
}
],
"identifiers": [],
"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 May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.