Active NPI
Jason Conrad Smith
- Orthopaedic Surgery Physician
- Bham, AL
National Provider Identifier
1063522985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- L2814F
- Practice address
- 806 St Vincents Dr
Suite415
Bham, AL 35205 - Phone
- (205) 939-3000
- Fax
- (205) 930-0008
- NPI assigned
- Aug 30, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | L2814F | AZ | Primary |
Addresses
Primary practice location
806 St Vincents Dr
Suite415
Bham, AL 35205
Mailing address
2800 University Blvd
Suite 100
Bham, AL 35233
Phone (205) 939-3000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2814F | AZ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Sports Medicine and Ortho Center | Orthopaedic Surgery | Past | Accepting new patients |
| Andrews Sports Medicine and Orthopaedic Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Birmingham, AL
- NPI 1679617526
-
- Orthopaedic Surgery Physician
- Bham, AZ
- NPI 1487629101
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063522985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 UNIVERSITY BLVD",
"address_2": "SUITE 100",
"city": "BHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-939-3000",
"fax_number": "205-930-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 ST VINCENTS DR",
"address_2": "SUITE415",
"city": "BHAM",
"state": "AL",
"postal_code": "35205",
"telephone_number": "205-939-3000",
"fax_number": "205-930-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JASON",
"middle_name": "CONRAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "L2814F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.