Pediatric Nephrology of Alabama, P.C.

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

License

12284 Issued in AL

Legal business name

PEDIATRIC NEPHROLOGY OF ALABAMA, P.C.

Practice address

1425 Richard Arrington Jr Blvd S
Suite 206
Birmingham, AL 35205-3898

Phone

(205) 558-3200

Fax

(205) 558-2055

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Max Miller

Title

Billing Manager

Phone

(256) 562-0025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwayne Henry, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
  • NPI 1952359077

  AL, Pediatric Nephrology

  Medicare reassignment NPD
• Mark Richard Benfield, MD

  • Pediatric Nephrology Physician
  • Cullman, AL
  • NPI 1811004245
  Medicare reassignment

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1245546993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 RICHARD ARRINGTON JR BLVD S",
            "address_2": "SUITE 206",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053898",
            "telephone_number": "205-558-3200",
            "fax_number": "205-558-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 RICHARD ARRINGTON JR BLVD S",
            "address_2": "SUITE 206",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053898",
            "telephone_number": "205-558-3200",
            "fax_number": "205-558-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEPHROLOGY OF ALABAMA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "256-562-0025"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "AL",
            "license": "12284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric & Adult Asthma and Allergy, P.C
• Pediatric and Adolescent Dentistry, LLC
• Pediatric Anesthesia Associates PC
• Pediatric Dental Associates of Birmingham, LLC
• Pediatric Eye Care Specialists, LLC
• Pediatric Neuromotor Clinic
• Pediatric Preventative Medical Services
• Pediatric Radiology Associates PC
• Pediatric Radiology Associates, PC
• Pediatric Therapy Associates, Inc.

• Pediatric Nephrology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatric Nephrology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.