Douglas Anderson
Individual provider Active NPI Surgery Physician · Birmingham, AL
NPI 1073756201 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1073756201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 37011 (AL)
- Practice address
- 1717 6TH Ave S
Birmingham, AL 35233-1801 - Phone
- (800) 822-8816
- NPI assigned
- Apr 17, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Vanderbilt University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Alabama Health Services Foundation, PC
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- University of Alabama Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181114000869 | AL | Practitioner - General Surgery |
4486943198 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396
1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 37011 | AL | Yes |
Addresses
Primary practice location
1717 6TH Ave S
Birmingham, AL 35233-1801
Mailing address
1717 6TH Ave S
Birmingham, AL 35233-1801
Other practice location 1
915 6th Ave S
Birmingham, AL 35233-1107
Phone (205) 975-9200
Other practice location 2
915 6th Ave S
Birmingham, AL 35233-1107
Phone (205) 975-9200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | douglasanderson@direct.uabmedicine.org | Direct | University of Alabama Hospital |
| Direct Messaging Address | douglasanderson@direct.uabmedicine.org | Direct | University of Alabama Hospital |
Other providers in Birmingham, AL
- Amanda Sarah Hinten Anderson
- Ashley Anderson
- Barbara Joanne Anderson
- Brian Scott Anderson
- Christina Cooper Anderson
- Frank Lawrence Anderson
- Gerald Keith Anderson
- Hilary Bryan Anderson
- James William Anderson
- Jarad Dale Anderson
All providers in Birmingham, AL · Surgery Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.