Active NPI
Matthew N Parker, M.D.
- General Practice Physician
- Birmingham, AL
National Provider Identifier
1174617716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 26208
- Practice address
- 50 Manning PL
Birmingham, AL 35242-1809 - Phone
- (205) 995-4690
- Fax
- (205) 995-4695
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 26208 | AL | |
| Family Medicine Physician | 207Q00000X | 26208 | AL | |
| General Practice Physician | 208D00000X | 26208 | AL | Primary |
Addresses
Primary practice location
50 Manning PL
Birmingham, AL 35242-1809
Mailing address
50 Manning PL
Suite 114
Birmingham, AL 35242-1809
Phone (205) 995-4690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26208 | Other | AL | STATE LICENSE NUMBER |
| 515-31820 | Other | AL | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | General Practice | Current | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1174617716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MANNING PL",
"address_2": "SUITE 114",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352421809",
"telephone_number": "205-995-4690",
"fax_number": "205-995-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MANNING PL",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352421809",
"telephone_number": "205-995-4690",
"fax_number": "205-995-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MATTHEW",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "AL",
"license": "26208",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "26208",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "26208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "26208",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-31820",
"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 May 11, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.