Active NPI
David Keith Calderwood, MD
- Family Medicine Physician
- Huntsville, AL
National Provider Identifier
1235110586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10438
- Practice address
- 420 Lowell Dr SE
Ste 201
Huntsville, AL 35801-3754 - Phone
- (256) 535-5944
- Fax
- (256) 535-5959
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10438 | AL | Primary |
Addresses
Primary practice location
420 Lowell Dr SE
Ste 201
Huntsville, AL 35801-3754
Mailing address
420 Lowell Dr SE
Ste 103
Huntsville, AL 35801-3754
Phone (256) 535-5940
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004452049 | Other | AETNA | |
| 11461021 | Other | CAQH | |
| 710981219 | Other | TAX ID | |
| 51001645 | Other | AL | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10438 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1235110586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 LOWELL DR SE",
"address_2": "STE 103",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013754",
"telephone_number": "256-535-5940",
"fax_number": "256-535-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 LOWELL DR SE",
"address_2": "STE 201",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013754",
"telephone_number": "256-535-5944",
"fax_number": "256-535-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERWOOD",
"first_name": "DAVID",
"middle_name": "KEITH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "10438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004452049",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11461021",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "710981219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51001645",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.