Active NPI
Kenneth Hall
- Psychiatry Physician
- Birmingham, AL
National Provider Identifier
1306393079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9392
- Practice address
- 4004 Acton Cir
Birmingham, AL 35243-4202 - Phone
- (205) 970-0817
- NPI assigned
- Sep 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9392 | AL | Primary |
Addresses
Primary practice location
4004 Acton Cir
Birmingham, AL 35243-4202
Mailing address
4004 Acton Cir
Birmingham, AL 35243-4202
Phone (205) 970-0817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9392 | Other | AL | ALABAMA STATE MEDICAL LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9392 | AL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1306393079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 ACTON CIR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352434202",
"telephone_number": "205-970-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 ACTON CIR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352434202",
"telephone_number": "205-970-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "9392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA STATE MEDICAL LICENSE",
"identifier": "9392",
"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 Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.