Active NPI
Bryan Keith Ford, PH.D., M.S.W.
- Social Worker
- Birmingham, AL
National Provider Identifier
1346542511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 700 19TH St S
Grecc (11-G)
Birmingham, AL 35233-1927 - Phone
- (205) 202-0332
- Fax
- (205) 558-4749
- NPI assigned
- Nov 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
700 19TH St S
Grecc (11-G)
Birmingham, AL 35233-1927
Mailing address
PO Box 190276
Birmingham, AL 35219-0276
Phone (205) 202-0332
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1346542511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190276",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352190276",
"telephone_number": "205-202-0332",
"fax_number": "205-558-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 19TH ST S",
"address_2": "GRECC (11-G)",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331927",
"telephone_number": "205-202-0332",
"fax_number": "205-558-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "BRYAN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "PH.D., M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-22",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"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 Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.