Individual provider Active NPI

Charlai Lee Breeding, PA

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1477262954
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2114 Issued in AL
Practice address
1 Independence Plaza
Ste 900
Birmingham, AL 35209
Phone
(205) 271-8000
Fax
(205) 271-8050
NPI assigned
Nov 23, 2022
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA2114 AL Primary

Addresses

Primary practice location

1 Independence Plaza
Ste 900
Birmingham, AL 35209

Mailing address

1 Independence Plaza
Ste 900
Birmingham, AL 35209
Phone (205) 271-8000

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
I20230601001452 AL Practitioner - Physician Assistant 0941667281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Independence Plaza
Suite 900
Birmingham, AL 35209-2643

1 Independence PLZ
Suite 900
Birmingham, AL 35209-2643
Phone (205) 271-8000

430 Fieldstown Rd
Gardendale, AL 35071-2485
Phone (205) 271-8000

5336 Stadium Trace Pkwy
Suite 102
Hoover, AL 35244-4581
Phone (205) 271-8000

Merit-based Incentive Payment System (MIPS)

Final score
76.94 of 100Reported as group
Quality
56.16
Promoting interoperability
86
Improvement activities
40
Cost
78.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2114ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Gastroenterology Associates PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1010 1st St N
Ste 140
Alabaster, AL 35007
Phone (205) 620-8400

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

832 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 206-8231

2021 AL Highway 157
#B
Cullman, AL 35058

430 Fieldstown Rd
Gardendale, AL 35071
Phone (205) 518-8849

1 Independence Plz
Homewood, AL 35209
Phone (205) 307-0484

1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953

5336 Stadium Trace Pkwy
Ste 102
Hoover, AL 35244
Phone (205) 746-4117

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

41 Eminence Way
Ste A
Pell City, AL 35128
Phone (205) 206-4518

7067 Veterans Pkwy
Ste 100
Pell City, AL 35125

209 W Spring St
Ste 301
Sylacauga, AL 35150
Phone (256) 208-0118

Interoperability endpoints

  • Direct secure messaging: charlaibreeding@bgapc.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1477262954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLAZA",
            "address_2": "STE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-271-8000",
            "fax_number": "205-271-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLAZA",
            "address_2": "STE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-271-8000",
            "fax_number": "205-271-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "CHARLAI",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2024-07-02",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA2114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.