Active NPI
Robert Tyler Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-145657
- Practice address
- 1802 6TH Ave S
Birmingham, AL 35233-1932 - Phone
- (205) 934-3411
- NPI assigned
- Feb 8, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-145657 | AL | Primary |
Addresses
Primary practice location
1802 6TH Ave S
Birmingham, AL 35233-1932
Mailing address
1802 6TH Ave S
Birmingham, AL 35233-1932
Phone (205) 934-3411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Alabama School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1041 Balch Rd
Suite 375
Madison, AL 35758-8820
Phone (256) 258-9940
2704 20TH St S
Suite 100
Homewood, AL 35209-1924
Phone 2055921800209
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- University of Alabama Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Varicosity LLC | Current | Accepting new patients | |
| Best Vein Care of Huntsville, LLC | Current | Accepting new patients |
Locations
2704 20th St S
#100
Homewood, AL 35209
Phone 2053831723225
2010 S Point Park Cir
Apt 170
Huntsville, AL 35801
Phone (256) 715-7151
1041 Balch Rd
Ste 375
Madison, AL 35758
Phone (256) 258-9940
1041 Balch Rd
#375
Madison, AL 35758
Phone (205) 383-1723
1950 Berryhill Rd
Montgomery, AL 36117
Phone 2055921800209
Interoperability endpoints
- robertjohnson@direct.uabmedicine.org
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- Huntsville, AL
- NPI 1518473073
-
- Vascular Surgery Physician
- Birmingham, AL
- NPI 1114968575
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1366196362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331932",
"telephone_number": "205-934-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331932",
"telephone_number": "205-934-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "TYLER",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-145657",
"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 Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.