Individual provider Active NPI

Sharon Brom Chaney, M.D.

  • Internal Medicine Physician
  • Vestavia HLS, AL
National Provider Identifier
1083702849
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00023549 Issued in AL
Practice address
2008 Stonegate TRL 100
Vestavia HLS, AL 35242-2267
Phone
(205) 595-0395
Fax
(205) 599-9024
NPI assigned
Oct 10, 2006
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00023549 AL Primary

Addresses

Primary practice location

2008 Stonegate TRL 100
Vestavia HLS, AL 35242-2267

Mailing address

PO Box 430125
Birmingham, AL 35243-1125
Phone (205) 595-0395

Other identifiers 5

IdentifierTypeStateIssuer
H61233OtherALVIVA
P00192328OtherALMEDICARE RAILROAD
H61233OtherALHEALTHSPRING
515-91791OtherALAL BCBS
7086371OtherALAETNA

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
I20040729001035 AL Practitioner - Internal Medicine 3173506573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2008 Stonegate TRL
Suite 100
Vestavia HLS, AL 35242-2267
Phone (205) 595-0395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00023549ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Internal Medicine PC Internal Medicine CurrentSince Aug 14, 2008 Accepting new patients
Met-Test, LLC Past Accepting new patients
Met-Test, LLC Past Accepting new patients

Locations

2008 Stonegate Trl
Ste 100
Vestavia Hls, AL 35242
Phone (205) 595-0395

Interoperability endpoints

  • Direct secure messaging: sharon.chaney.1@12205.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1083702849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430125",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431125",
            "telephone_number": "205-595-0395",
            "fax_number": "205-599-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 STONEGATE TRL 100",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "352422267",
            "telephone_number": "205-595-0395",
            "fax_number": "205-599-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "SHARON",
        "middle_name": "BROM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00023549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "H61233",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00192328",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "H61233",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BCBS",
            "identifier": "515-91791",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7086371",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia HLS, AL

Sources for this page

Verify at the official NPI Registry.