Individual provider Active NPI

Jonathan Winfrey Byrnes, M.D.

  • Pediatric Critical Care Medicine Physician
  • Birmingham, AL
National Provider Identifier
1457550923
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
ME147880 Issued in FL
Practice address
1600 7TH Ave S
Birmingham, AL 35233
Phone
(205) 638-9100
Fax
(205) 975-6505
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X MD.37960 AL
Pediatric Critical Care Medicine Physician 2080P0203X MD.37960 AL
Pediatric Critical Care Medicine Physician 2080P0203X 333366 LA
Pediatric Critical Care Medicine Physician 2080P0203X ME147880 FL Primary

Addresses

Primary practice location

1600 7TH Ave S
Birmingham, AL 35233

Mailing address

PO Box 100297
Gainesville, FL 32610-0297
Phone (352) 273-5422

Other practice location 1

3333 Burnet Ave
MLC 2003
Cincinnati, OH 45229-3026
Phone (513) 636-4432

Other practice location 2

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 273-5422

Other practice location 3

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190613002767 AL Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 9234360769 Reassigns benefits to 1 organization
I20210106000805 FL Practitioner - Pediatric Medicine 9234360769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.37960ALMDPediatric Critical Care Medicine Physician
ME147880FLMDPediatric Critical Care Medicine Physician
333366LAMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jan 4, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Jun 1, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2019 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 4, 2021 Accepting new patients
The Children's Hospital of Alabama Past Accepting new patients

Locations

703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Organizations & group practices 5

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1457550923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100297",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100297",
            "telephone_number": "352-273-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-638-9100",
            "fax_number": "205-975-6505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Ave",
            "address_2": "MLC 2003",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-4432",
            "fax_number": "513-636-3952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-273-5422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701212429",
            "country_code": "US",
            "telephone_number": "504-842-3660",
            "fax_number": "504-842-2905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRNES",
        "first_name": "JONATHAN",
        "middle_name": "WINFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AL",
            "license": "MD.37960",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "AL",
            "license": "MD.37960",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "LA",
            "license": "333366",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "FL",
            "license": "ME147880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.