Individual provider Active NPI

Jeffrey Lee Love, M.D.

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1083662431
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35077061L Issued in OH
Practice address
110 Oxmoor CT
Birmingham, AL 35209
Phone
(205) 945-0773
Fax
(205) 945-0426
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 39737 KY
Emergency Medicine Physician 207P00000X 35077061L OH Primary

Addresses

Primary practice location

110 Oxmoor CT
Birmingham, AL 35209

Mailing address

1130 22ND St S Ste 1000
Birmingham, AL 35205-2881

Other practice location 1

3303 Fern Valley Rd
Louisville, KY 40213-3529
Phone (502) 964-4889

Other identifiers 6

IdentifierTypeStateIssuer
64111990MedicaidKY
P00301735OtherKYRR MEDICARE
P00629105OtherKYRRMCR - NICC
000000546223OtherKYANTHEM - NORTON
00533021OtherKYMEDICARE - NORTON
093270OtherKYSIHO - NORTON

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
I20200211002925 AL Practitioner - Preventive MedicinePractitioner - Emergency Medicine 6305730300 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077061LOHMDEmergency Medicine Physician
39737KYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Help 280 LLC CurrentSince Aug 15, 2023 Accepting new patients
BW Physician Practices, LLC CurrentSince Jan 3, 2020 Accepting new patients
Medhelp Shelby, LLC CurrentSince Aug 15, 2023 Accepting new patients
American Current Care, P.a. Past Accepting new patients
Middletown Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
Brookwood Primary Care - Inverness, L.L.C. Past Accepting new patients
Miami Valley Emergency Specialists, LLC Emergency Medicine Past Accepting new patients
Baptist Medical Associates, Inc. Past Accepting new patients

Locations

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

151 Narrows Pkwy
Ste 110
Birmingham, AL 35242
Phone (205) 444-9550

800 Lakeshore Dr
Birmingham, AL 35229
Phone (205) 726-2011

4902 Valleydale Rd
Hoover, AL 35242
Phone (205) 677-5454

3170 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

3143 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

Organizations & group practices 9

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1083662431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 22ND ST S STE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052881",
            "fax_number": "205-715-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OXMOOR CT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-945-0773",
            "fax_number": "205-945-0426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 Fern Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402133529",
            "country_code": "US",
            "telephone_number": "502-964-4889",
            "fax_number": "502-964-9769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "39737",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35077061L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64111990",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00301735",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR - NICC",
            "identifier": "P00629105",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM  -  NORTON",
            "identifier": "000000546223",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE    -    NORTON",
            "identifier": "00533021",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO   -  NORTON",
            "identifier": "093270",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.