Active NPI
Pediatric Radiology Associates PC
- Pediatric Radiology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- Legal business name
- PEDIATRIC RADIOLOGY ASSOCIATES PC
- Practice address
- 1600 7TH Ave S
Acc Ste 306
Birmingham, AL 35233-1711 - Phone
- (205) 939-9336
- Fax
- (205) 939-6872
- NPI assigned
- Jun 2, 2006
- Last updated
- Mar 7, 2008
- 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
- Larry S Simma
- Title
- Business Manager Cfo
- Phone
- (205) 871-4274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | NU | Primary |
Addresses
Primary practice location
1600 7TH Ave S
Acc Ste 306
Birmingham, AL 35233-1711
Mailing address
2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209-7704
Phone (205) 871-4274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040514000295 | AL | Part B Supplier - Clinic/Group Practice | 1456341205 |
Receives reassigned benefits from 15 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Birmingham, AL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pediatric Radiology Physician
- Birmingham, AL
- NPI 1225178742
O20040514000295
National Provider Directory
National Provider DirectoryLocations
1600 7th Ave S
Ste 306
Birmingham, AL 35233
Phone (205) 939-9336
1940 Elmer J Bissell Rd
Ste B
Birmingham, AL 35243
Phone (205) 638-4938
2211 7th Ave S
Birmingham, AL 35233
1141 Payton Way
Leeds, AL 35094
Phone (205) 699-0729
Practitioners & affiliated clinicians
Practitioners 22
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.
-
- Pediatric Radiology Physician
- Birmingham, AL
- NPI 1699108779
-
- Pediatric Radiology Physician
- Birmingham, AL
- NPI 1023013380
-
- Pediatric Radiology Physician
- Birmingham, AL
- NPI 1780634048
-
- Student in an Organized Health Care Education/Training Program
- Birmingham, AL
- NPI 1033522024
-
- Pediatric Radiology Physician
- Birmingham, AL
- NPI 1659376911
-
- Pediatric Radiology Physician
- Birmingham, AL
- NPI 1821093188
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1114639242
-
- Student in an Organized Health Care Education/Training Program
- Syracuse, NY
- NPI 1710339627
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1811417371
-
- Pediatric Radiology Physician
- Miami, FL
- NPI 1467483016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1144268145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000A SOUTHBRIDGE PKWY",
"address_2": "STE 300",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352097704",
"telephone_number": "205-871-4274",
"fax_number": "205-871-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 7TH AVE S",
"address_2": "ACC STE 306",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331711",
"telephone_number": "205-939-9336",
"fax_number": "205-939-6872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC RADIOLOGY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "SIMMA",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BUSINESS MANAGER CFO",
"authorized_official_telephone_number": "205-871-4274"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
- Pediatric Dental Associates of Birmingham, LLC
- Pediatric Eye Care Specialists, LLC
- Pediatric Nephrology of Alabama, P.C.
- Pediatric Neuromotor Clinic
- Pediatric Preventative Medical Services
- Pediatric Radiology Associates, PC
- Pediatric Therapy Associates, Inc.
- Pediatrics PM, LLC.
- Pedicure, LLC
- Pedorthic Concepts, Inc (The FootCare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.