Active NPI
Nicholas James Smith, MD
- Otolaryngic Allergy Physician
- Birmingham, AL
National Provider Identifier
1437368602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- License
- 27862
- Practice address
- 1940 Elmer J. Bissell Road
Birmingham, AL 35243 - Phone
- (205) 638-4949
- Fax
- (205) 638-4982
- NPI assigned
- May 22, 2007
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Otolaryngic Allergy Physician | 207YX0602X | 27862 | AL | Primary |
Addresses
Primary practice location
1940 Elmer J. Bissell Road
Birmingham, AL 35243
Mailing address
1940 Elmer J. Bissell Road
Birmingham, AL 35243
Phone (205) 638-4949
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27862 | AL | MD | Otolaryngic Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Hospital of Alabama | Past | Accepting new patients |
Interoperability endpoints
- nsmith22660@childrensofalabama.direct-ci.com
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.
-
- Children's Hospital
- Birmingham, AL
- NPI 1205935012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1437368602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 ELMER J. BISSELL ROAD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35243",
"telephone_number": "205-638-4949",
"fax_number": "205-638-4982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 ELMER J. BISSELL ROAD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35243",
"telephone_number": "205-638-4949",
"fax_number": "205-638-4982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NICHOLAS",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "AL",
"license": "27862",
"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 Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.