Individual provider Active NPI

Andrew David Housholder, M.D.

  • Emergency Medicine Physician
  • Mountain BRK, AL
National Provider Identifier
1265666085
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.30752 Issued in AL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000457 AL Practitioner - Emergency Medicine 6608059050 Reassigns benefits to 3 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.30752ALMDEmergency Medicine Physician
ME 114660FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 1, 2019 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Trinity Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
HG and Morning Sickness Clinic PC CurrentSince Dec 7, 2025 Accepting new patients
Trinity Emergency Physicians, LLC Emergency Medicine Current Accepting new patients
The Morning Sickness Clinic, LLC CurrentSince Jan 21, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.