Individual provider Active NPI

Dexanne Bowers Clohan, M.D.

  • Rehabilitation Practitioner
  • Birmingham, AL
National Provider Identifier
1093939878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
MD.27951 Issued in AL
Practice address
1 Healthsouth Pkwy S
Birmingham, AL 35243-2358
Phone
(205) 970-5950
Fax
(205) 969-6670
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X MD.27951 AL Primary

Addresses

Primary practice location

1 Healthsouth Pkwy S
Birmingham, AL 35243-2358

Mailing address

2351 River Grand Dr
Birmingham, AL 35243-2347
Phone (205) 970-5950

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.27951ALMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Rehabilitation Associates PTR Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093939878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 RIVER GRAND DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432347",
            "telephone_number": "205-970-5950",
            "fax_number": "205-969-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHSOUTH PKWY S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432358",
            "telephone_number": "205-970-5950",
            "fax_number": "205-969-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOHAN",
        "first_name": "DEXANNE",
        "middle_name": "BOWERS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "AL",
            "license": "MD.27951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, 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.

Verify at the official NPI Registry.