Individual provider Active NPI

Jeffrey Ryne Black, MD

  • Neuroradiology Physician
  • Hoover, AL
National Provider Identifier
1336646629
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
MD.38831 Issued in AL
Practice address
4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone
(205) 985-4111
Fax
(205) 985-4326
NPI assigned
Apr 12, 2018
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MD.38831 AL Primary

Addresses

Primary practice location

4517 Southlake Pkwy
Hoover, AL 35244-3280

Mailing address

625 19TH St S
Birmingham, AL 35233-1900
Phone (205) 934-5135

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-5135

Other practice location 2

817 Princeton Ave SW Ste 106
Birmingham, AL 35211-1340
Phone (205) 783-7663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230516001145 AL Practitioner - Diagnostic Radiology 5496097669 Reassigns benefits to 7 organizations
I20260625001752 GA Practitioner - Diagnostic Radiology 5496097669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Birmingham, P.C.Group PAC ID 7214928571, 44 clinicians
Pro Radiology LLCGroup PAC ID 1052696432, 112 clinicians

Practice addresses (Care Compare)

3300 Cahaba Rd
Suite 300
Birmingham, AL 35223-2627
Phone (800) 841-4236

3921 Johns Creek CT
Suite B
Suwanee, GA 30024-1252
Phone (770) 217-1741

4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone (205) 985-4111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brookwood Womens Diagnostic Center LLC CurrentSince Feb 25, 2026 Accepting new patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Jul 1, 2023 Accepting new patients
Southern Orthopaedic Alliance PLLC CurrentSince Sep 1, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2024 Accepting new patients
Radiology Associates of Birmingham PC CurrentSince Jun 1, 2023 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jul 1, 2023 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Sep 1, 2023 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jul 1, 2023 Accepting new patients
St. Vincent's P.E.T. Center, LLC CurrentSince Dec 1, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jun 18, 2026 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jul 1, 2023 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jul 1, 2023 Accepting new patients
Brookwood Baptist Imaging, LLC CurrentSince Jul 1, 2023 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Sep 1, 2023 Accepting new patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Jul 1, 2023 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Sep 1, 2024 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jul 1, 2023 Accepting new patients
Eastside P.E.T. Center, LLC CurrentSince Nov 20, 2025 Accepting new patients
Grandview Imaging, LLC CurrentSince Jul 1, 2023 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jul 12, 2025 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Jul 1, 2023 Accepting new patients
Coastal Neurological Institute P.C. CurrentSince Jan 24, 2024 Accepting new patients
American Health Imaging of Alabama LLC CurrentSince Nov 17, 2025 Accepting new patients
Brookwood Diagnostic Imaging Center, LLC CurrentSince Feb 25, 2026 Accepting new patients
Vestavia Hills Imaging Center CurrentSince Jun 1, 2023 Accepting new patients

Locations

1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

2204 Lakeshore Dr
Ste 140
Birmingham, AL 35209
Phone (205) 648-4569

3300 Cahaba Rd
Ste 300
Birmingham, AL 35223
Phone (205) 824-8000

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

4517 Southlake Pkwy
Hoover, AL 35244
Phone (205) 329-7585

7191 Cahaba Valley Rd
Ste 104
Hoover, AL 35242
Phone (205) 408-6600

7191 Cahaba Valley Rd
Ste 107
Hoover, AL 35242
Phone (205) 408-6600

3280 Dauphin St
Ste A
Mobile, AL 36606
Phone (251) 450-3700

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

7201 Happy Hollow Rd
Ste 100
Trussville, AL 35173
Phone (205) 838-5286

Dept AT 952614
Atlanta, GA 31192

Interoperability endpoints

  • Direct secure messaging: coastalneurologicalinstitutepc.jefferyrblack@160094.advancedmd-direct.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1336646629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-5135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 Princeton Ave SW Ste 106",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111340",
            "country_code": "US",
            "telephone_number": "205-783-7663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JEFFREY",
        "middle_name": "RYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AL",
            "license": "MD.38831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.