Individual provider Active NPI

Douglas Scott Dickinson, MD

  • Gastroenterology Physician
  • Birmingham, AL
National Provider Identifier
1285686915
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6490 Issued in AL
Practice address
1 Independence Plaza
Suite 900
Birmingham, AL 35209-2643
Phone
(205) 271-8000
Fax
(208) 879-0548
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 00006490 AL
Gastroenterology Physician 207RG0100X 6490 AL Primary

Addresses

Primary practice location

1 Independence Plaza
Suite 900
Birmingham, AL 35209-2643

Mailing address

1 Independence Plaza
Suite 900
Birmingham, AL 35209-2643
Phone (205) 271-8000

Other practice location 1

2022 Bkwd Med Ctr Dr
Birmingham, AL 35294-0001
Phone (205) 271-8044

Other identifiers 4

IdentifierTypeStateIssuer
000017840MedicaidAL
C792942OtherALHEALTHSPRING PROVIDER NUM
2910016OtherALUNITED HEALTHCARE PROVIDE
51017840OtherALBLUE CROSS PROVIDER NUMBE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddickinson@direct.uabmedicine.org Direct University of Alabama Hospital

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
I20090821000048 AL Practitioner - Gastroenterology 7911970413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Pennsylvania State University College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy51
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00006490ALMDGastroenterology Physician
6490ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 14, 2020 Accepting new patients
Alabama Gastroenterology Associates PC Gastroenterology PastSince Dec 1, 1988 Accepting new patients

Locations

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

2022 Brookwood Medical Ctr Dr
Ste 626
Birmingham, AL 35209
Phone (205) 877-2130

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01B0
  • bcbs alabama network 01E0
  • bcbs alabama network 01G0
  • bcbs alabama network 01C0

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1285686915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLAZA",
            "address_2": "SUITE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092643",
            "telephone_number": "205-271-8000",
            "fax_number": "208-879-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLAZA",
            "address_2": "SUITE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092643",
            "telephone_number": "205-271-8000",
            "fax_number": "208-879-0548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2022 Bkwd Med Ctr Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352940001",
            "country_code": "US",
            "telephone_number": "205-271-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "00006490",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "6490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000017840",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING PROVIDER NUM",
            "identifier": "C792942",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDE",
            "identifier": "2910016",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "51017840",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddickinson@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2022 Bkwd Med Ctr Dr",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352940001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.