Active NPI
Alexander Fraser Pattillo III, BC-HIS
- Hearing Instrument Specialist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 4004
- Practice address
- 2523 5TH Ave S
Birmingham, AL 35233-3303 - Phone
- (205) 322-8790
- Fax
- (205) 322-8713
- NPI assigned
- Jun 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | |||
| Hearing Instrument Specialist | 237700000X | 4004 | AL | Primary |
Addresses
Primary practice location
2523 5TH Ave S
Birmingham, AL 35233-3303
Mailing address
8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999
Other practice location 1
1088 9th Ave SW Ste 108
Bessemer, AL 35022-7833
Phone (205) 428-8500
Other practice location 2
2523 5th Ave S
Birmingham, AL 35233-3303
Phone (205) 322-8790
Other practice location 3
515 Hargrove Rd E
Tuscaloosa, AL 35401-3750
Phone (205) 345-9351
Other practice location 4
1968 US Highway 78 E
Oxford, AL 36203-2020
Phone (256) 236-6002
Other practice location 5
33605 US Highway 280
Childersburg, AL 35044-3015
Phone (256) 378-7000
Other practice location 6
428 Battle St W
Talladega, AL 35160-2433
Phone (256) 362-7716
Other practice location 7
1600 Highway 78 E # G
Jasper, AL 35501-4083
Phone (205) 384-4895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-32916 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4004 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Eden Prairie, MN
- NPI 1225070667
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1245276559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SE SUNNYSIDE RD STE 300N",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155703",
"telephone_number": "281-286-2999",
"fax_number": "512-607-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2523 5TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352333303",
"telephone_number": "205-322-8790",
"fax_number": "205-322-8713"
}
],
"practiceLocations": [
{
"address_1": "1088 9th Ave SW Ste 108",
"address_purpose": "LOCATION",
"city": "Bessemer",
"state": "AL",
"postal_code": "350227833",
"country_code": "US",
"telephone_number": "205-428-8500",
"fax_number": "503-659-5968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2523 5th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352333303",
"country_code": "US",
"telephone_number": "205-322-8790",
"fax_number": "205-322-8713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 Hargrove Rd E",
"address_purpose": "LOCATION",
"city": "Tuscaloosa",
"state": "AL",
"postal_code": "354013750",
"country_code": "US",
"telephone_number": "205-345-9351",
"fax_number": "205-345-9347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1968 US Highway 78 E",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "AL",
"postal_code": "362032020",
"country_code": "US",
"telephone_number": "256-236-6002",
"fax_number": "256-236-6002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33605 US Highway 280",
"address_purpose": "LOCATION",
"city": "Childersburg",
"state": "AL",
"postal_code": "350443015",
"country_code": "US",
"telephone_number": "256-378-7000",
"fax_number": "256-378-0730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "428 Battle St W",
"address_purpose": "LOCATION",
"city": "Talladega",
"state": "AL",
"postal_code": "351602433",
"country_code": "US",
"telephone_number": "256-362-7716",
"fax_number": "503-659-5968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Highway 78 E # G",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "AL",
"postal_code": "355014083",
"country_code": "US",
"telephone_number": "205-384-4895",
"fax_number": "285-384-3227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTILLO",
"first_name": "ALEXANDER",
"middle_name": "FRASER",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AL",
"license": "4004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-32916",
"state": "AL"
}
],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.