Individual provider Active NPI

Bronson Wessinger

  • Otolaryngology Physician
  • Birmingham, AL
National Provider Identifier
1184207755
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD.54193 Issued in AL
Practice address
833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613
Phone
(205) 933-9236
Fax
(205) 933-9213
NPI assigned
May 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD.54193 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613

Mailing address

833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613
Phone (205) 933-9236

Other practice location 1

931 Sharit Ave Ste 101
Gardendale, AL 35071-5005
Phone (205) 631-8116

Other practice location 2

3686 Grandview Pkwy Ste 530
Birmingham, AL 35243-3405
Phone (205) 591-8260

Other identifiers 3

IdentifierTypeStateIssuer
393475MedicaidAL
389466MedicaidAL
391096MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1184207755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 402",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051613",
            "telephone_number": "205-933-9236",
            "fax_number": "205-933-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 402",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051613",
            "telephone_number": "205-933-9236",
            "fax_number": "205-933-9213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 Sharit Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350715005",
            "country_code": "US",
            "telephone_number": "205-631-8116",
            "fax_number": "205-631-8114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3686 Grandview Pkwy Ste 530",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433405",
            "country_code": "US",
            "telephone_number": "205-591-8260",
            "fax_number": "205-595-0843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESSINGER",
        "first_name": "BRONSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "MD.54193",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393475",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389466",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391096",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.