Active NPI
Carolyn Lee Dobbs, M.D.
- Family Medicine Physician
- Birmingham, AL
National Provider Identifier
1285621409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00015994
- Practice address
- 601 West Blvd
Birmingham, AL 35206-1300 - Phone
- (205) 591-5180
- Fax
- (205) 510-3476
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00015994 | AL | Primary |
Addresses
Primary practice location
601 West Blvd
Birmingham, AL 35206-1300
Mailing address
601 West Blvd
Birmingham, AL 35206-1300
Phone (205) 591-5180
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303709258 | Medicaid | AL | |
| 113214 | Medicaid | AL | |
| G588 | Other | AL | MEDICARE GROUP NUMBER , |
| 051516632 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00015994 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1285621409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 WEST BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352061300",
"telephone_number": "205-591-5180",
"fax_number": "205-510-3476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 WEST BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352061300",
"telephone_number": "205-591-5180",
"fax_number": "205-510-3476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBS",
"first_name": "CAROLYN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00015994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303709258",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113214",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER ,",
"identifier": "G588",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051516632",
"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 Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.