NPIMap

Organization Active NPI

Vascular Institute of Birmingham, PC

  • Vascular Surgery Physician
  • Birmingham, AL
National Provider Identifier
1265603724
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
21035 Issued in AL
Legal business name
VASCULAR INSTITUTE OF BIRMINGHAM, PC
Practice address
2660 10TH Ave S
Pob 1, Suite 608
Birmingham, AL 35205-1605
Phone
(205) 939-3495
NPI assigned
Mar 12, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
William David Whitley, MDNPI 1205818242
Title
Owner
Phone
(205) 939-3495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 21035 AL Primary

Addresses

Primary practice location

2660 10TH Ave S
Pob 1, Suite 608
Birmingham, AL 35205-1605

Mailing address

2660 10TH Ave S
Pob 1, Suite 608
Birmingham, AL 35205-1605
Phone (205) 939-3495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080502000020 AL Part B Supplier - Clinic/Group Practice 8426137449 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Birmingham, AL; Homewood, AL; Pell City, AL; Trussville, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Vascular Inst of Bham2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2022 Brookwood Medical Ctr Dr
Ste 51
Birmingham, AL 35209

2022 Medical Center Dr
Ste 510
Birmingham, AL 35209
Phone (205) 877-1805

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1265603724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S",
            "address_2": "POB 1, SUITE 608",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051605",
            "telephone_number": "205-939-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S",
            "address_2": "POB 1, SUITE 608",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051605",
            "telephone_number": "205-939-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR INSTITUTE OF BIRMINGHAM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-939-3495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "21035",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 12, 2008; 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.