Individual provider Active NPI

James Albert Brock III, CRNA

  • Anesthesiology Physician
  • Vestavia, AL
National Provider Identifier
1427520493
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
123925 Issued in AL
Practice address
3104 Blue Lake Dr Ste 110
Vestavia, AL 35243-2372
Phone
(205) 977-1949
NPI assigned
Jan 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X AC004133 MD
Anesthesiology Physician 207L00000X 123925 AL Primary

Addresses

Primary practice location

3104 Blue Lake Dr Ste 110
Vestavia, AL 35243-2372

Mailing address

3104 Blue Lake Dr Ste 110
Vestavia, AL 35243-2372
Phone (205) 977-1949

Other practice location 1

2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 877-1930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190729001357 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597091538 Reassigns benefits to 3 organizations
I20220303002811 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597091538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians
Huntsville Hospital AnesthesiaGroup PAC ID 7315990751, 157 clinicians

Practice addresses (Care Compare)

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 848-2925

245 Governors Dr SE
Huntsville, AL 35801-3784
Phone (256) 265-8120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
123925ALMDAnesthesiology Physician
AC004133MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists Associated PC CurrentSince Mar 16, 2019 Accepting new patients
Anesthesiologists Associated PC Anesthesiology CurrentSince Mar 16, 2019 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Feb 7, 2022 Accepting new patients
Huntsville Hospital Anesthesia CurrentSince Jan 10, 2022 Accepting new patients
Dothan Anesthesiology Associates PC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
Comprehensive Anesthesia Services PC Anesthesiology Past Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1427520493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 BLUE LAKE DR STE 110",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432372",
            "telephone_number": "205-977-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BLUE LAKE DR STE 110",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432372",
            "telephone_number": "205-977-1949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Brookwood Medical Ctr Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096804",
            "country_code": "US",
            "telephone_number": "205-877-1930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "JAMES",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-01",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "AC004133",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "123925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.