NPIMap

Organization Active NPI

Jefferson Clinic, P.C.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1124086509
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JEFFERSON CLINIC, P.C.
Practice address
1526 5TH Ave S
Birmingham, AL 35233-1615
Phone
(205) 279-2860
Fax
(205) 251-7698
NPI assigned
May 3, 2006
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Ms. Danielle Renee Brown
Title
Business Administrator
Phone
(205) 279-2860

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AL
Internal Medicine Physician 207R00000X AL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X AL
Hematology & Oncology Physician 207RH0003X AL
Pulmonary Disease Physician 207RP1001X AL
Obstetrics & Gynecology Physician 207V00000X AL
Ophthalmology Physician 207W00000X AL
Orthopaedic Surgery Physician 207X00000X AL
Otolaryngology Physician 207Y00000X AL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X AL
Psychiatry Physician 2084P0800X AL
Diagnostic Radiology Physician 2085R0202X AL
Surgery Physician 208600000X AL
Urology Physician 208800000X AL
Pain Medicine Physician 208VP0000X AL

Addresses

Primary practice location

1526 5TH Ave S
Birmingham, AL 35233-1615

Mailing address

1526 5TH Ave S
Birmingham, AL 35233-1615
Phone (205) 279-2860

Other identifiers 1

IdentifierTypeStateIssuer
000060093MedicaidAL

National Provider Directory

National Provider Directory

Locations

1526 5th Ave S
Birmingham, AL 35233
Phone (205) 279-2860

2101 Daniel Payne Dr
Birmingham, AL 35214
Phone (205) 791-4720

4 Avenue W
Birmingham, AL 35214
Phone (205) 791-6214

155 Bessemer Super Hwy
Midfield, AL 35228
Phone (205) 279-2860

Practitioners & affiliated clinicians

Practitioners 104

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1124086509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 5TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331615",
            "telephone_number": "205-279-2860",
            "fax_number": "205-251-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 5TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331615",
            "telephone_number": "205-279-2860",
            "fax_number": "205-251-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "205-279-2860",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060093",
            "state": "AL"
        }
    ],
    "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 Jan 23, 2013; 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.