Active NPI
Eric Sparks, M.D.
- Surgery Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- BP10041441
- Practice address
- 1600 7TH Ave. South
Lowder Suite 300
Birmingham, AL 35233 - Phone
- (205) 638-9688
- NPI assigned
- Jun 2, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 43082 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301115111 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | BP10041441 | TX | Primary |
Addresses
Primary practice location
1600 7TH Ave. South
Lowder Suite 300
Birmingham, AL 35233
Mailing address
555 University Avenue
Roy Hill Wing, 1526
Toronto, ON M5G 1X8
CA
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 559681 | Other | TX | TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- The Children'S Hospital of Alabama
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10041441 | TX | MD | Surgery Physician |
| 4301115111 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| The Children'S Hospital of Alabama | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
1600 7th Ave S
Ste 300
Birmingham, AL 35233
Phone (205) 638-5336
Interoperability endpoints
- esparks22771@childrensofalabama.direct-ci.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Children's Hospital
- Birmingham, AL
- NPI 1205935012
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Birmingham, AL
- NPI 1205935012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1376837872",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "555 UNIVERSITY AVENUE",
"address_2": "ROY HILL WING, 1526",
"city": "TORONTO",
"state": "ON",
"postal_code": "M5G 1X8"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 7TH AVE. SOUTH",
"address_2": "LOWDER SUITE 300",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-638-9688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-02",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "AL",
"license": "43082",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301115111",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP10041441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING",
"identifier": "559681",
"state": "TX"
}
],
"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 Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.