Individual provider Active NPI

Christopher Burnette Gore

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1215277009
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO.1668 Issued in AL
Practice address
810 Saint Vincents Dr
Emergency Department
Birmingham, AL 35205-1601
Phone
(205) 212-6001
NPI assigned
Feb 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X DO.1668 AL Primary

Addresses

Primary practice location

810 Saint Vincents Dr
Emergency Department
Birmingham, AL 35205-1601

Mailing address

4135 Ashington Dr
Birmingham, AL 35242-5837

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
I20170724001325 AL Practitioner - Emergency Medicine 2365712486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1668ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bessemer Emergency Physicians, LLC. Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients

Locations

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

5300 Medford Dr
Hoover, AL 35244
Phone (205) 203-8859

Organizations & group practices 2

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 1

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": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1215277009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 ASHINGTON DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-212-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "CHRISTOPHER",
        "middle_name": "BURNETTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-15",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO.1668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.