Active NPI
Michael Clifford Swanson, M.D.
- Family Medicine Physician
- Birmingham, AL
National Provider Identifier
1053424952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14185
- Practice address
- 201 Doug Baker Blvd
Birmingham, AL 35242-2013 - Phone
- (205) 408-3933
- Fax
- (205) 408-3934
- NPI assigned
- Aug 16, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14185 | AL | Primary |
Addresses
Primary practice location
201 Doug Baker Blvd
Birmingham, AL 35242-2013
Mailing address
2162 Brook Highland RDG
Birmingham, AL 35242-5870
Phone (205) 999-5402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51524038SWA | Other | AL | BLUECROSSBLUESHIELD OF AL |
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
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greystone Family Medicine PC | Family Medicine | Current | Accepting new patients |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Family Medicine | Current | Accepting new patients |
| Baptist Health Centers, LLC | Past | Accepting new patients |
Locations
1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552
1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775
6930 Cahaba Valley Rd
Ste 102
Hoover, AL 35242
Phone (205) 783-5207
300 Big Mountain Cir
Pelham, AL 35124
Phone (205) 644-8260
Interoperability endpoints
- https://api.platform.athenahealth.com/12166/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1083080907
-
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1053424952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2162 BROOK HIGHLAND RDG",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425870",
"telephone_number": "205-999-5402",
"fax_number": "205-991-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DOUG BAKER BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352422013",
"telephone_number": "205-408-3933",
"fax_number": "205-408-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "MICHAEL",
"middle_name": "CLIFFORD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "14185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF AL",
"identifier": "51524038SWA",
"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 Oct 31, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.