Individual provider Active NPI

Robert Dick McClung, AU.D.

  • Audiologist
  • Birmingham, AL
National Provider Identifier
1427239789
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
672A Issued in AL
Practice address
244 Inverness Center Dr
Suite 100
Birmingham, AL 35242-4834
Phone
(205) 637-0731
Fax
(205) 637-0733
NPI assigned
Nov 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 672A AL Primary

Addresses

Primary practice location

244 Inverness Center Dr
Suite 100
Birmingham, AL 35242-4834

Mailing address

244 Inverness Center Dr
Suite 100
Birmingham, AL 35242-4834
Phone (205) 637-0731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000004 AL Practitioner - Qualified Audiologist 0446320154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valleydale Hearing and Balance CenterGroup PAC ID 8628148335, 2 clinicians

Practice addresses (Care Compare)

244 Inverness Ctr Dr
Birmingham, AL 35242

244 Inverness Ctr Dr
Suite 100
Birmingham, AL 35242-4834
Phone (205) 637-0731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
672AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valleydale Hearing & Balance Center Audiologist CurrentSince May 1, 2008 Accepting new patients

Locations

244 Inverness Center Dr
Ste 100
Birmingham, AL 35242
Phone (205) 637-0731

Organizations & group practices 1

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1427239789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 INVERNESS CENTER DR",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424834",
            "telephone_number": "205-637-0731",
            "fax_number": "205-637-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 INVERNESS CENTER DR",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424834",
            "telephone_number": "205-637-0731",
            "fax_number": "205-637-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "ROBERT",
        "middle_name": "DICK",
        "name_prefix": "Mr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "672A",
            "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 Jul 30, 2009; 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.