NPIMap

Organization Active NPI

Alabama ENT & Allergy, PC

  • Specialist
  • Birmingham, AL
National Provider Identifier
1386749885
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18109 Issued in AL
Legal business name
ALABAMA ENT & ALLERGY, PC
Practice address
2001 Providence Park
Birmingham, AL 35242-4680
Phone
(205) 982-7220
Fax
(205) 982-7228
NPI assigned
Sep 13, 2006
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Jeffrey Scott Robertson, MDNPI 1235117607
Title
President
Phone
(205) 982-7220

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
Specialist 174400000X 18109 AL Primary

Addresses

Primary practice location

2001 Providence Park
Birmingham, AL 35242-4680

Mailing address

2001 Providence Park
Birmingham, AL 35242-4680
Phone (205) 982-7220

Other practice location 1

5346 Stadium Trace Pkwy Ste 200
Hoover, AL 35244-4584
Phone (205) 982-7220

Other identifiers 2

IdentifierTypeStateIssuer
529922460MedicaidAL
DE1127OtherALMEDICARE RAILROAD

Other names 1

  • J. Scott Robertson MD PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050124001073 AL Part B Supplier - Clinic/Group Practice 1658321096 Receives reassigned benefits from 10 practitioners
Practice locations: Birmingham, AL; Hoover, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2183425Alabama ENT & Allergy PC2001 Providence Park, Birmingham, AL 35242Certificate of waiverMay 4, 2028
01D2343532Alabama ENT & Allergy PC5346 Stadium Trace Pkwy Suite 200, Hoover, AL 35244Certificate of waiverMay 6, 2028

National Provider Directory

National Provider Directory

Locations

2001 Providence Park
Birmingham, AL 35242
Phone (205) 982-7220

5346 Stadium Trace Pkwy
Ste 200
Hoover, AL 35244
Phone (205) 982-7220

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1386749885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PROVIDENCE PARK",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424680",
            "telephone_number": "205-982-7220",
            "fax_number": "205-982-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PROVIDENCE PARK",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424680",
            "telephone_number": "205-982-7220",
            "fax_number": "205-982-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5346 Stadium Trace Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352444584",
            "country_code": "US",
            "telephone_number": "205-982-7220",
            "fax_number": "205-538-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALABAMA ENT & ALLERGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-982-7220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "18109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529922460",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE1127",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Scott Robertson MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 13, 2025; 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.

Verify at the official NPI Registry.