Organization Active NPI

R. Joe Teague MD PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Birmingham, AL
National Provider Identifier
1376626598
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
R. JOE TEAGUE MD PC
Practice address
One Indepeandence Plaza
Suite 315
Birmingham, AL 35209
Phone
(205) 502-6600
Fax
(205) 502-6604
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Dr. Ralph Joe Teague, M.D.NPI 1225099385
Title
Doctor
Phone
(205) 502-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

One Indepeandence Plaza
Suite 315
Birmingham, AL 35209

Mailing address

1 Independence PLZ
Suite 315
Birmingham, AL 35209-2629
Phone (205) 502-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000388 AL Part B Supplier - Clinic/Group Practice 4981509544 Receives reassigned benefits from 1 practitioner
Practice locations: Homewood, AL

National Provider Directory

National Provider Directory

Locations

1600 Carraway Blvd
Ste 460
Birmingham, AL 35234
Phone (205) 502-6600

1528 Carraway Blvd
Ste 460
Birmingham, AL 35234
Phone (205) 202-6600

1 Independence Plz
Ste 315
Homewood, AL 35209
Phone (205) 502-6600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1376626598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ",
            "address_2": "SUITE 315",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092629",
            "telephone_number": "205-502-6600",
            "fax_number": "205-502-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE INDEPEANDENCE PLAZA",
            "address_2": "SUITE 315",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-502-6600",
            "fax_number": "205-502-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. JOE TEAGUE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "205-502-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "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 Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.