Organization Active NPI

Comprehensive Breast Health LLC

  • Surgical Oncology Physician
  • Birmingham, AL
National Provider Identifier
1457097255
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
COMPREHENSIVE BREAST HEALTH LLC
Practice address
1 Independence PLZ Ste 100
Birmingham, AL 35209-2629
Phone
(205) 544-3141
Fax
(205) 544-3152
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Anna M Knight, MDNPI 1972846632
Title
Owner
Phone
(205) 544-3141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X Primary

Addresses

Primary practice location

1 Independence PLZ Ste 100
Birmingham, AL 35209-2629

Mailing address

1 Independence PLZ Ste 100
Birmingham, AL 35209-2629
Phone (205) 544-3141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220607000922 AL Part B Supplier - Clinic/Group Practice 9032597885 Receives reassigned benefits from 2 practitioners
Practice locations: Homewood, AL

National Provider Directory

National Provider Directory

Locations

1 Independence Plz
Ste 100
Homewood, AL 35209
Phone (205) 544-3141

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1457097255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092629",
            "telephone_number": "205-544-3141",
            "fax_number": "205-544-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092629",
            "telephone_number": "205-544-3141",
            "fax_number": "205-544-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BREAST HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-544-3141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "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 May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.