Individual provider Active NPI

Victoria Calcote Debardeleben, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1053940940
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43729 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35233-1900
Phone
(205) 934-3166
NPI assigned
Apr 3, 2020
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X T-4049 MS
Diagnostic Radiology Physician 2085R0202X 43729 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35233-1900

Mailing address

21 Eastbrooke St
Jackson, MS 39216-4714

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-1000

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
I20250611002349 AL Practitioner - Diagnostic Radiology 0446760144 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Mississippi School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Birmingham, P.C.Group PAC ID 7214928571, 44 clinicians

Practice addresses (Care Compare)

3300 Cahaba Rd
Suite 300
Birmingham, AL 35223-2627
Phone (800) 841-4236

619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-4049MSMDInternal Medicine Physician
43729ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookwood Womens Diagnostic Center LLC CurrentSince Jan 1, 2026 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of Birmingham PC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jun 23, 2026 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jun 23, 2026 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jun 23, 2026 Accepting new patients
Brookwood Diagnostic Imaging Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jun 23, 2026 Accepting new patients
Brookwood Baptist Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jun 23, 2026 Accepting new patients
Grandview Imaging, LLC CurrentSince Jun 16, 2026 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jun 23, 2026 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jun 23, 2026 Accepting new patients
Vestavia Hills Imaging Center CurrentSince Jun 1, 2026 Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

3300 Cahaba Rd
Ste 300
Birmingham, AL 35223
Phone (205) 824-8000

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

7191 Cahaba Valley Rd
Ste 104
Hoover, AL 35242
Phone (205) 408-6600

Interoperability endpoints

  • Direct secure messaging: vcdebardeleben@direct.uabmedicine.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 2

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1053940940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EASTBROOKE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBARDELEBEN",
        "first_name": "VICTORIA",
        "middle_name": "CALCOTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-4049",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "43729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.