Active NPI
Andrew David Housholder, M.D.
- Emergency Medicine Physician
- Mountain BRK, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.30752
- Practice address
- 2700 Highway 280 S Ste 460E
Mountain BRK, AL 35223-5407 - Phone
- (205) 772-9595
- Fax
- (205) 395-6643
- NPI assigned
- May 7, 2009
- Last updated
- Jan 20, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME 114660 | FL | |
| Emergency Medicine Physician | 207P00000X | 2016-00905 | NC | |
| Emergency Medicine Physician | 207P00000X | MD.30752 | AL | Primary |
Addresses
Primary practice location
2700 Highway 280 S Ste 460E
Mountain BRK, AL 35223-5407
Mailing address
2700 Highway 280 S Ste 460E
Mountain BRK, AL 35223-5407
Phone (205) 772-9595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.30752 | AL | MD | Emergency Medicine Physician |
| ME 114660 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Trinity Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| HG and Morning Sickness Clinic PC | Current | Accepting new patients | |
| Trinity Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| The Morning Sickness Clinic, LLC | Current | Accepting new patients | |
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
Birmingham, AL 35249
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400
400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584
960 Mount Olive Rd
Gardendale, AL 35071
Phone (205) 263-0952
2700 Highway 280 S
Ste 460E
Mountain Brk, AL 35223
Phone (720) 600-1571
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
Interoperability endpoints
- ahousholder@direct.uabmedicine.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1487669016
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- General Practice Physician
- Mountain BRK, AL
- NPI 1487517355
-
- General Practice Physician
- Mountain BRK, AL
- NPI 1760100481
-
- Emergency Medicine Physician
- Trussville, AL
- NPI 1326750589
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705708800000",
"number": "1265666085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 HIGHWAY 280 S STE 460E",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352235407",
"telephone_number": "205-772-9595",
"fax_number": "205-395-6643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 HIGHWAY 280 S STE 460E",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352235407",
"telephone_number": "205-772-9595",
"fax_number": "205-395-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSHOLDER",
"first_name": "ANDREW",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-07",
"last_updated": "2024-01-20",
"certification_date": "2024-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME 114660",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2016-00905",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "MD.30752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain BRK, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.