Active NPI
Jefferson Clinic, P.C.
- Internal Medicine Physician
- Birmingham, AL
National Provider Identifier
1124086509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000060093 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
1526 5th Ave S
Birmingham, AL 35233
Phone (205) 279-2860
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 105
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Homewood, AL
- NPI 1629023205
-
- Obstetrics & Gynecology Physician
- Ensley, AL
- NPI 1407894462
-
- Gynecology Physician
- Birmingham, AL
- NPI 1790723484
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1003949009
-
- Certified Registered Nurse Anesthetist
- Cullman, AL
- NPI 1083742522
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1114177375
-
- Women's Health Nurse Practitioner
- Birmingham, AL
- NPI 1922038751
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1649290149
-
- Internal Medicine Physician
- Gadsden, AL
- NPI 1821004680
-
- Medical Physician Assistant
- Birmingham, AL
- NPI 1578591277
-
- Physician Assistant
- Florence, AL
- NPI 1699726075
-
- Urology Physician
- Birmingham, AL
- NPI 1437104973
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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AL",
"license": null,
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY 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.