Individual provider Active NPI

David Frank Wynne, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1184712911
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21252 Issued in AL
Practice address
3570 Grandview Parkway
Suite 100-a
Birmingham, AL 35243-2033
Phone
(205) 595-9222
Fax
(205) 595-9444
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21252 AL Primary

Addresses

Primary practice location

3570 Grandview Parkway
Suite 100-a
Birmingham, AL 35243-2033

Mailing address

PO Box 380756
Birmingham, AL 35238-0756
Phone (205) 595-9222

Other identifiers 4

IdentifierTypeStateIssuer
515 16577OtherALBLUE CROSS/BLUE SHIELD
7223121OtherALAETNA
421594377OtherALMEDICARE COMPLETE
6745381OtherALCIGNA

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
I20070416000497 AL Practitioner - Internal Medicine 6608826136 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3570 Grandview Pkwy
Suite 100a
Birmingham, AL 35243-2033

3570 Grandview Pkwy
Suite 100a
Birmingham, AL 35243-2065
Phone 20559592225

Hospital & facility affiliations

  • Prohealth Home Health, LLC Home health agency, Birmingham, AL, CCN 017179
  • Aveanna Home Health Home health agency, Hoover, AL, CCN 017153
  • Compassus Home Health Home health agency, Pell City, AL, CCN 017145
  • Centerwell Home Health Home health agency, Birmingham, AL, CCN 017054
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104
  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21252ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers LLC Internal Medicine CurrentSince Mar 5, 2019 Accepting new patients
Select Specialty Hospitals Inc CurrentSince Mar 5, 2019 Accepting new patients
Affinity Physician Services LLC Past Accepting new patients
BHC - Montclair Hospitalist Internal Medicine PastSince Aug 1, 2001 Accepting new patients

Locations

2010 Brookwood Medical Ctr Dr
Fl 3
Birmingham, AL 35209
Phone (205) 547-4700

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1184712911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380756",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352380756",
            "telephone_number": "205-595-9222",
            "fax_number": "205-595-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 GRANDVIEW PARKWAY",
            "address_2": "SUITE 100-A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432033",
            "telephone_number": "205-595-9222",
            "fax_number": "205-595-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE",
        "first_name": "DAVID",
        "middle_name": "FRANK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "21252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "515 16577",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7223121",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "421594377",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6745381",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.