Richard G. Diethelm, MD, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

26360 Issued in AL

Legal business name

RICHARD G. DIETHELM, MD, PC

Practice address

48 Medical Park Dr E Ste 351
Birmingham, AL 35235-3467

Phone

(205) 836-9366

Fax

(205) 836-9367

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Richard G Diethelm, M.D.NPI 1851518476

Title

President

Phone

(205) 836-9366

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard G Diethelm, M.D.

  • Neurology Physician
  • Birmingham, AL
  • NPI 1851518476
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1205053824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 351",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353467",
            "telephone_number": "205-836-9366",
            "fax_number": "205-836-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 351",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353467",
            "telephone_number": "205-836-9366",
            "fax_number": "205-836-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G. DIETHELM, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "DIETHELM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-836-9366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "26360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1281",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932807",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910701",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Rice, BSN, RN, CLC
• Craig Rich, M.D.
• Emily Nicole Rich
• Richard Care Pharmacy Inc
• Richard Fallin
• Richard N Vest, Jr., D.D.S, P.C.
• Richard W Waguespack MD PC
• Peyton Richard
• Alexandria Richards, ALC
• Cailynn Bree Richards

• Neurology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Neurology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.