Active NPI
Frank Bryson Waldo, M.D.
- Pediatrics Physician
- Birmingham, AL
National Provider Identifier
1053407718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9005
- Practice address
- 101 Eagle Ridge Drive
Birmingham, AL 35242 - Phone
- (205) 995-1004
- Fax
- (205) 991-6075
- NPI assigned
- Oct 4, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9005 | AL | Primary |
Addresses
Primary practice location
101 Eagle Ridge Drive
Birmingham, AL 35242
Mailing address
101 Eagle Ridge Drive
Birmingham, AL 35242
Phone (205) 995-1004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000008783 | Medicaid | AL | |
| 51008783 | Other | AL | BCBS OF ALABAMA |
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": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1053407718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EAGLE RIDGE DRIVE",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35242",
"telephone_number": "205-995-1004",
"fax_number": "205-991-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 EAGLE RIDGE DRIVE",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35242",
"telephone_number": "205-995-1004",
"fax_number": "205-991-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDO",
"first_name": "FRANK",
"middle_name": "BRYSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "9005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000008783",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51008783",
"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 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.