Individual provider Active NPI

Michael Clifford Swanson, M.D.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1053424952
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14185 Issued in AL
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

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51524038SWAOtherALBLUECROSSBLUESHIELD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208001091 AL Practitioner - Family Practice 6204892441 Reassigns benefits to 2 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greystone Family Medicine PC Family Medicine CurrentSince Aug 4, 2015 Accepting new patients
Rural Urgent Care LLC CurrentSince Sep 28, 2022 Accepting new patients
Rural Urgent Care LLC Family Medicine CurrentSince Sep 28, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.