Individual provider Active NPI

Susan Brazier Powell, MD

  • Pediatrics Physician
  • Birmingham, AL
National Provider Identifier
1376557470
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.37295 Issued in AL
Practice address
1601 7TH Ave S # Cppi10
Birmingham, AL 35233-1710
Phone
(205) 638-9585
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.37295 AL Primary

Addresses

Primary practice location

1601 7TH Ave S # Cppi10
Birmingham, AL 35233-1710

Mailing address

1601 7TH Ave S # Cppi10
Birmingham, AL 35233-1710
Phone (205) 638-9585

Other practice location 1

1601 4th Ave S
Birmingham, AL 35233-1723
Phone (205) 638-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191228000309 AL Practitioner - Pediatric Medicine 7315995891 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.37295ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC Pediatrics CurrentSince Oct 16, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 16, 2019 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Past Accepting new patients
Primary Care Clinic Pediatrics Past Accepting new patients
Macarthur Medical Center, PLLC Pediatrics PastSince Oct 20, 2019 Accepting new patients

Locations

703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587

1601 4th Ave S
Birmingham, AL 35233
Phone (205) 638-9096

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3503/brand/10/csg/161/fhir/r4
  • Direct secure messaging: spowell25375@childrensofalabama.direct-ci.com
  • Direct secure messaging: susanpowell@direct.uabmedicine.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1376557470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 7TH AVE S # CPPI10",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331710",
            "telephone_number": "205-638-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 7TH AVE S # CPPI10",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331710",
            "telephone_number": "205-638-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 4th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331723",
            "country_code": "US",
            "telephone_number": "205-638-9096",
            "fax_number": "205-638-2181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SUSAN",
        "middle_name": "BRAZIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.37295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.