Active NPI
Daniel Mirelman, M.D.
- Surgery Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 8570
- Practice address
- 2022 Brookwood Medical Ctr Dr
Suite 313 Acc
Birmingham, AL 35209-6808 - Phone
- (205) 877-2910
- Fax
- (205) 879-4649
- NPI assigned
- Mar 22, 2006
- Last updated
- Oct 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 8570 | AL | Primary |
| Colon & Rectal Surgery Physician | 208C00000X | 8570 | AL |
Addresses
Primary practice location
2022 Brookwood Medical Ctr Dr
Suite 313 Acc
Birmingham, AL 35209-6808
Mailing address
2022 Brookwood Medical Ctr Dr
Suite 313 Acc
Birmingham, AL 35209-6808
Phone (205) 877-2910
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001112 | Medicaid | AL | |
| 1922068774 | Other | GROUP NPI NUMBER | |
| 406283026 | Other | AL | RAILROAD MEDICARE |
| 63-0677675 | Other | FEDERAL TAX ID | |
| 1306805825 | Other | NPI | |
| 510-01112 | 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 |
|---|---|---|---|
| 8570 | AL | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Surgical, P.C. | Surgery | Current | Accepting new patients |
Locations
2022 Brookwood Medical Ctr Dr
Ste 313
Birmingham, AL 35209
Phone (205) 877-2910
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
513 Brookwood Blvd
Ste 360
Homewood, AL 35209
Phone (205) 877-2876
Organizations & group practices 1
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.
-
- Surgery Physician
- Birmingham, AL
- NPI 1922068774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1306805825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 BROOKWOOD MEDICAL CTR DR",
"address_2": "SUITE 313 ACC",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096808",
"telephone_number": "205-877-2910",
"fax_number": "205-879-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 BROOKWOOD MEDICAL CTR DR",
"address_2": "SUITE 313 ACC",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096808",
"telephone_number": "205-877-2910",
"fax_number": "205-879-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRELMAN",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "8570",
"primary": true
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "AL",
"license": "8570",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000001112",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1922068774",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "406283026",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "63-0677675",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1306805825",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "510-01112",
"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 Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.