Organization Active NPI

Birmingham Allergy & Asthma Specialists, PC

  • Allergy & Immunology Physician
  • Birmingham, AL
National Provider Identifier
1326076100
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
BIRMINGHAM ALLERGY & ASTHMA SPECIALISTS, PC
Practice address
3125 Independence Dr Ste 100
Birmingham, AL 35209-4163
Phone
(205) 943-1197
Fax
(205) 879-2995
NPI assigned
Jun 29, 2006
Last updated
Jul 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Carol Sides
Title
Billing & Insurance Specialist
Phone
(205) 943-1197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

3125 Independence Dr Ste 100
Birmingham, AL 35209-4163

Mailing address

3125 Independence Dr Ste 100
Birmingham, AL 35209-4163
Phone (205) 943-1197

Other practice location 1

7191 Cahaba Valley Rd
Ste 203
Birmingham, AL 35242-6402
Phone (205) 879-8294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061020000562 AL Part B Supplier - Clinic/Group Practice 0941207641 Receives reassigned benefits from 3 practitioners
Practice locations: Homewood, AL; Hoover, AL

National Provider Directory

National Provider Directory

Locations

3125 Independence Dr
Ste 100
Homewood, AL 35209
Phone (205) 236-4022

3125 Independence Dr
Ste 210
Homewood, AL 35209
Phone (205) 943-1197

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1326076100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094163",
            "telephone_number": "205-943-1197",
            "fax_number": "205-879-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094163",
            "telephone_number": "205-943-1197",
            "fax_number": "205-879-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7191 Cahaba Valley Rd",
            "address_2": "Ste 203",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352426402",
            "country_code": "US",
            "telephone_number": "205-879-8294",
            "fax_number": "205-879-8259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIRMINGHAM ALLERGY & ASTHMA SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "SIDES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BILLING & INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "205-943-1197"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "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 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.