Individual provider Active NPI

Alexander Fraser Pattillo III, BC-HIS

  • Hearing Instrument Specialist
  • Birmingham, AL
National Provider Identifier
1245276559
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
4004 Issued in AL
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
515-32916OtherALBLUE 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

LicenseStateTypeSpecialty
4004ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.