Individual provider Active NPI

Matthew Reid Hale, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1477022739
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-129595 Issued in AL
Practice address
1808 7TH Ave S
Birmingham, AL 35233-1912
Phone
(205) 514-2326
NPI assigned
Nov 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-129595 AL
Adult Health Nurse Practitioner 363LA2200X 1-129595 AL Primary

Addresses

Primary practice location

1808 7TH Ave S
Birmingham, AL 35233-1912

Mailing address

134 Treasure TRL
Gardendale, AL 35071-3481
Phone (205) 514-2326

Other practice location 1

1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 934-3411

Other practice location 2

563 1720 2nd Avenue South
Birmingham, AL 35294-0001
Phone (205) 934-9766

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrhale@direct.uabmedicine.org Direct University of Alabama Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190129001203 AL Practitioner - Nurse Practitioner 4486991429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-129595ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jan 1, 2019 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

1720 2nd Ave S
Birmingham, AL 35294
Phone (205) 801-7801

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

1808 7th Ave S
Birmingham, AL 35233
Phone (205) 934-2003

1802 6th Ave S
Birmingham, AL 35233
Phone (205) 934-5105

1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

960 Rocket Way
Gardendale, AL 35071
Phone (205) 263-0952

501 Emery Dr W
Hoover, AL 35244
Phone (205) 801-7703

Interoperability endpoints

  • Direct secure messaging: mrhale@direct.uabmedicine.org

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.

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": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1477022739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 TREASURE TRL",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713481",
            "telephone_number": "205-514-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331912",
            "telephone_number": "205-514-2326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-934-3411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "563 1720 2nd Avenue South",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352940001",
            "country_code": "US",
            "telephone_number": "205-934-9766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "MATTHEW",
        "middle_name": "REID",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-129595",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-129595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrhale@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "563 1720 2nd Avenue South",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352940001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.