Individual provider Active NPI

James Howard Gentry Jr., MD

  • Surgery Physician
  • Aliceville, AL
National Provider Identifier
1225023823
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9753 Issued in AL
Practice address
1400B Carrollton Rd
Aliceville, AL 35442
Phone
(205) 373-2229
Fax
(205) 373-3779
NPI assigned
Sep 20, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9753 AL Primary

Addresses

Primary practice location

1400B Carrollton Rd
Aliceville, AL 35442

Mailing address

1400B Carrollton Rd
Aliceville, AL 35442
Phone (205) 373-2229

Other identifiers 1

IdentifierTypeStateIssuer
51014623OtherALBLUE CROSS BLUE SHIELD

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

LicenseStateTypeSpecialty
9753ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aliceville Rural Health Clinic PC Past Accepting new patients
James H. Gentry, Jr, MD Surgery PastSince Dec 1, 2001 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225023823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400B CARROLLTON RD",
            "city": "ALICEVILLE",
            "state": "AL",
            "postal_code": "35442",
            "telephone_number": "205-373-2229",
            "fax_number": "205-373-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400B CARROLLTON RD",
            "city": "ALICEVILLE",
            "state": "AL",
            "postal_code": "35442",
            "telephone_number": "205-373-2229",
            "fax_number": "205-373-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "JAMES",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "9753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51014623",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliceville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.