Active NPI
Jasper L. Booker, M.D.
- Anesthesiology Physician
- Birmingham, AL
National Provider Identifier
1194720631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 11012
- Practice address
- 2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804 - Phone
- (205) 989-1080
- Fax
- (205) 989-1087
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 11012 | AL | Primary |
Addresses
Primary practice location
2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804
Mailing address
2151 Old Rocky Ridge Rd
Ste 106
Birmingham, AL 35216-7251
Phone (205) 989-1080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11012 | AL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1194720631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 OLD ROCKY RIDGE RD",
"address_2": "STE 106",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352167251",
"telephone_number": "205-989-1080",
"fax_number": "205-989-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 BROOKWOOD MEDICAL CTR DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096804",
"telephone_number": "205-989-1080",
"fax_number": "205-989-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "JASPER",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "11012",
"primary": true
}
],
"identifiers": [],
"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 Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.