Individual provider Active NPI

Benjamin L Gayle Sr., MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1407885254
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.24746 Issued in AL
Practice address
1159 Spring Hill Ave
Mobile, AL 36604-2725
Phone
(251) 432-4188
Fax
(251) 432-4199
NPI assigned
Jul 2, 2006
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.24746 AL Primary
Hospitalist Physician 208M00000X MD.24746 AL

Addresses

Primary practice location

1159 Spring Hill Ave
Mobile, AL 36604-2725

Mailing address

1159 Spring Hill Ave
Mobile, AL 36604-2725
Phone (251) 432-4188

Other identifiers 14

IdentifierTypeStateIssuer
009935931MedicaidAL
1407885254OtherALTRICARE SOUTH
515-34310OtherALBCBS
515-97420OtherALBCBS
515-40044OtherALBCBS
009939329MedicaidAL
009939331MedicaidAL
510-04406OtherALBCBS
009935419MedicaidAL
009936126MedicaidAL
515-34309OtherALBCBS
009935929MedicaidAL
515-32773OtherALBCBS
515-34311OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060131000501 AL Practitioner - Internal MedicinePractitioner - Emergency Medicine 7719991645 Reassigns benefits to 3 organizations
I20120125000936 AL Practitioner - Family Practice 7719991645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Morehouse School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Health Alabama LLCGroup PAC ID 9537521182, 9 clinicians
Hands of Hope Health Care CenterGroup PAC ID 9032386404, 2 clinicians

Practice addresses (Care Compare)

2948 Carter Hill Rd
Montgomery, AL 36106-2531
Phone (334) 694-2262

4625 Moffett Rd
Mobile, AL 36618-1701
Phone (251) 287-6146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.24746ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Health Alabama LLC CurrentSince Feb 12, 2024 Accepting new patients
Homedica of Louisiana, LLC CurrentSince Dec 1, 2022 Accepting new patients
Hands of Hope Health Care Center CurrentSince Jan 3, 2012 Accepting new patients
Sage Health Maryland LLC Past Accepting new patients
Sage Health Mississippi LLC Past Accepting new patients
Mobile Emergency Group PC Emergency Medicine Past Accepting new patients
Franklin Primary Health Center, Inc Internal Medicine Past Accepting new patients
Hands of Hope Health Care Past Accepting new patients

Locations

23 Midtown Park W
Ste B1
Mobile, AL 36606
Phone (251) 295-5110

2318 Saint Stephens Rd
Mobile, AL 36617
Phone (251) 308-5689

3408 Beltline Park Dr N
#A
Mobile, AL 36617
Phone 2512876146 ext. 25128

3980 Airport Blvd
#I
Mobile, AL 36608
Phone (251) 214-0908

4625 Moffett Rd
Mobile, AL 36618
Phone (251) 287-6146

851 E I65 Service Rd S
Ste 402
Mobile, AL 36606

2948 Carter Hill Rd
Montgomery, AL 36106
Phone (334) 694-2262

Interoperability endpoints

  • Direct secure messaging: benjamin.gayle.1@18033.direct.athenahealth.com
  • Direct secure messaging: benjamin.gayle.1@21104.direct.athenahealth.com
  • Direct secure messaging: benjamin.gayle.1@27478.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18033/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1407885254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042725",
            "telephone_number": "251-432-4188",
            "fax_number": "251-432-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042725",
            "telephone_number": "251-432-4188",
            "fax_number": "251-432-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "BENJAMIN",
        "middle_name": "L",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.24746",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD.24746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935931",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1407885254",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-34310",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-97420",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-40044",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939329",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939331",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-04406",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935419",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936126",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-34309",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935929",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-32773",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-34311",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.