John L Roberson Jr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

262 Issued in AL

Practice address

805 St. Vincent's Drive
Suite 420
Birmingham, AL 35205-2704

Phone

(205) 324-8511

Fax

(205) 324-0319

NPI assigned

Nov 16, 2005

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birmingham Podiatry PCGroup PAC ID 4183617111, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHCADA/Endpoint/FHCADA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Birmingham Podiatry PC

  • Podiatrist
  • Birmingham, AL
  • NPI 1477695013
  Medicare reassignment Care Compare group NPD Authorized official
• Birmingham Podiatry PC

  dba Cullman Podiatry

  • Podiatrist
  • Cullman, AL
  • NPI 1588705883
  NPD Authorized official

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1154303105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ST. VINCENT'S DRIVE",
            "address_2": "STE 420",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051641",
            "telephone_number": "205-324-8511",
            "fax_number": "205-314-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ST. VINCENT'S DRIVE",
            "address_2": "SUITE 420",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052704",
            "telephone_number": "205-324-8511",
            "fax_number": "205-324-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO890009900",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051514505",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Roberson
• Glenn Roberson
• James Roberson, MD
• Jesse Roberson
• John Roberson II, MD
• Robert a. Holmes II, DMD.Ms
• Robert B. Connor DMD, PC
• Robert C. Cain, M.D., LLC
• Robert Eichelberger, M.D., P.C. (Southeastern Imaging Group)
• Robert G Sorrell MD PC

• Podiatrist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.

Verify at the official NPI Registry.