Organization Active NPI

Derek E Robinson MD PC

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1265544860
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DEREK E ROBINSON MD PC
Practice address
860 Montclair Rd Ste 754
Birmingham, AL 35213-1950
Phone
(205) 591-2565
Fax
(205) 591-5641
NPI assigned
Aug 31, 2006
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
James Driskell, CPA
Title
Cpa
Phone
(205) 986-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

860 Montclair Rd Ste 754
Birmingham, AL 35213-1950

Mailing address

860 Montclair Rd Ste 754
Birmingham, AL 35213-1950
Phone (205) 591-2565

Other identifiers 1

IdentifierTypeStateIssuer
529400610MedicaidAL

National Provider Directory

National Provider Directory

Locations

860 Montclair Rd
Ste 754
Birmingham, AL 35213
Phone (205) 591-2565

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1265544860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MONTCLAIR RD STE 754",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131950",
            "telephone_number": "205-591-2565",
            "fax_number": "205-591-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MONTCLAIR RD STE 754",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131950",
            "telephone_number": "205-591-2565",
            "fax_number": "205-591-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK E ROBINSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "DRISKELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CPA",
        "authorized_official_telephone_number": "205-986-0080",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529400610",
            "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 Sep 10, 2013; 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.