Individual provider Active NPI

Barry Ivker, PHD

  • Social Worker
  • Hoover, AL
National Provider Identifier
1316065394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
08021941C Issued in AL
Practice address
2559 Foothills Drive
Hoover, AL 35226-2310
Phone
(205) 979-9440
Fax
(205) 979-9440
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 08021941C AL Primary
Social Worker 104100000X 1715 LA

Addresses

Primary practice location

2559 Foothills Drive
Hoover, AL 35226-2310

Mailing address

2559 Foothills Drive
Hoover, AL 35226-2310
Phone (205) 979-9440

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
08021941CALMDSocial Worker
1715LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316065394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 FOOTHILLS DRIVE",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352262310",
            "telephone_number": "205-979-9440",
            "fax_number": "205-979-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 FOOTHILLS DRIVE",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352262310",
            "telephone_number": "205-979-9440",
            "fax_number": "205-979-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVKER",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "08021941C",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "1715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.