Individual provider Active NPI

Michael Steven Bobo, M.D., M.ED

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1154612315
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
31909 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249-1900
Phone
(205) 975-7387
NPI assigned
Apr 22, 2011
Last updated
Jan 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 31909 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-1900

Mailing address

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 975-7387

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121016000649 AL Practitioner - Emergency Medicine 7214187806 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians

Practice addresses (Care Compare)

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31909ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Mar 1, 2016 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Trinity Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
University of Alabama at Birmingham Emergency Medicine CurrentSince Oct 26, 2014 Accepting new patients
University of Alabama at Birmingham CurrentSince Oct 26, 2014 Accepting new patients
Trinity Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 9, 2020 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Nov 1, 2012 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

1806 6th Ave S
Birmingham, AL 35233
Phone (205) 939-9587

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

619 19th St S
#251
Birmingham, AL 35249
Phone (205) 975-6077

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1806 6th Ave S
Irondale, AL 35210
Phone (205) 975-7389

1701 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 435-4970

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • Direct secure messaging: michael.bobo@direct.baptistfirst.org
  • Direct secure messaging: msbobo@direct.uabmedicine.org

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1154612315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-975-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-975-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBO",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "credential": "M.D., M.ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "31909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.