Individual provider Active NPI

Ryan Shallcross

  • Student in an Organized Health Care Education/Training Program
  • Birmingham, AL
National Provider Identifier
1306769922
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1300 University Blvd
Campbell Hall, RM. 415
Birmingham, AL 35233-1405
Phone
(205) 934-3850
NPI assigned
Jul 31, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1300 University Blvd
Campbell Hall, RM. 415
Birmingham, AL 35233-1405

Mailing address

1300 University Blvd
Campbell Hall 415
Birmingham, AL 35233-1405

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

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1306769922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNIVERSITY BLVD",
            "address_2": "CAMPBELL HALL 415",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UNIVERSITY BLVD",
            "address_2": "CAMPBELL HALL, RM. 415",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331405",
            "telephone_number": "205-934-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLCROSS",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.