Individual provider Active NPI

Barbara Blumer Corcoran, MD

  • Family Medicine Physician
  • Foley, AL
National Provider Identifier
1366525099
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00027491 Issued in AL
Practice address
1628 N McKenzie Street
Ste 102
Foley, AL 36535-2248
Phone
(251) 947-1083
Fax
(251) 947-1084
NPI assigned
Oct 24, 2006
Last updated
Mar 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00027491 AL Primary

Addresses

Primary practice location

1628 N McKenzie Street
Ste 102
Foley, AL 36535-2248

Mailing address

1628 N McKenzie Street
Ste 102
Foley, AL 36535-2248
Phone (251) 947-1083

Other identifiers 3

IdentifierTypeStateIssuer
51537985OtherALBLUE CROSS BLUE SHIELD
630000020MedicaidAL
632000011MedicaidAL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00027491ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico Familiar /Family Medical Center PastSince Apr 1, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1366525099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 N MCKENZIE STREET",
            "address_2": "STE 102",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-947-1083",
            "fax_number": "251-947-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 N MCKENZIE STREET",
            "address_2": "STE 102",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352248",
            "telephone_number": "251-947-1083",
            "fax_number": "251-947-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "BARBARA",
        "middle_name": "BLUMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00027491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51537985",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630000020",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632000011",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.