Individual provider Active NPI

Daniel Mirelman, M.D.

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1306805825
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8570 Issued in AL
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000001112MedicaidAL
1922068774OtherGROUP NPI NUMBER
406283026OtherALRAILROAD MEDICARE
63-0677675OtherFEDERAL TAX ID
1306805825OtherNPI
510-01112OtherALBLUE 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

LicenseStateTypeSpecialty
8570ALMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.