Active NPI
James Albert Brock III, CRNA
- Anesthesiology Physician
- Vestavia, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 123925
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 123925 | AL | MD | Anesthesiology Physician |
| AC004133 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists Associated PC | Current | Accepting new patients | |
| Anesthesiologists Associated PC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia Maryland LLC | Anesthesiology | Current | Accepting new patients |
| Huntsville Hospital Anesthesia | Current | Accepting new patients | |
| Dothan Anesthesiology Associates PC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1851371850
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1851321079
-
- Anesthesiology Physician
- Dothan, AL
- NPI 1013997857
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Critical Care Medicine (Internal Medicine) Physician
- Birmingham, AL
- NPI 1396353280
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1194704742
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
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.