Individual provider Active NPI

Vicki R Martin, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1396706586
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14251 Issued in AL
Practice address
2018 Brookwood Medical Ctr Dr
Ste 315
Birmingham, AL 35209-6898
Phone
(205) 877-5700
Fax
(205) 877-5720
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14251 AL Primary

Addresses

Primary practice location

2018 Brookwood Medical Ctr Dr
Ste 315
Birmingham, AL 35209-6898

Mailing address

2018 Brookwood Medical Ctr Dr
Ste 315
Birmingham, AL 35209-6898
Phone (205) 877-5700

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
14251ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Help PC Current Accepting new patients
Apogee Medical Group Alabama Inc Internal Medicine Past Accepting new patients
Over the Mountain Internal Medicine LLC Internal Medicine PastSince Dec 1, 2009 Accepting new patients

Locations

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

Organizations & group practices 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1396706586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR",
            "address_2": "STE 315",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-877-5700",
            "fax_number": "205-877-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR",
            "address_2": "STE 315",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-877-5700",
            "fax_number": "205-877-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VICKI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "14251",
            "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 Nov 11, 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.