Active NPI
Richard Lee Stephens, PA
- Surgical Physician Assistant
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9102484
- Practice address
- 833 Princeton Ave SW
200A
Birmingham, AL 35211 - Phone
- (205) 786-2776
- Fax
- (205) 786-6227
- NPI assigned
- Apr 12, 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9102484 | FL | Primary |
Addresses
Primary practice location
833 Princeton Ave SW
200A
Birmingham, AL 35211
Mailing address
833 Princeton Ave SW
200A
Birmingham, AL 35211
Phone (205) 786-2776
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00203381 | Other | RAILROAD MEDICARE | |
| 291699100 | Medicaid | FL |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
833 Princeton Ave SW
Ste 200A
Birmingham, AL 35211
Phone (205) 786-2776
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
Interoperability endpoints
- rlstephens@direct.uabmedicine.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Clinical Medical Laboratory
- Birmingham, AL
- NPI 1164617205
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1104880855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 PRINCETON AVE SW",
"address_2": "200A",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35211",
"telephone_number": "205-786-2776",
"fax_number": "205-786-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 PRINCETON AVE SW",
"address_2": "200A",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35211",
"telephone_number": "205-786-2776",
"fax_number": "205-786-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "RICHARD",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9102484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00203381",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291699100",
"state": "FL"
}
],
"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 Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.