NPIMap

Organization Active NPI

Gastroenterology Specialists of Birmingham,P.C.

  • Gastroenterology Physician
  • Birmingham, AL
National Provider Identifier
1477511467
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY SPECIALISTS OF BIRMINGHAM,P.C.
Practice address
100 Pilot Medical Dr
Ste 225
Birmingham, AL 35235-3467
Phone
(205) 854-8404
Fax
(205) 854-4302
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Rita Mehra
Title
Office Manager
Phone
(205) 854-8404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

100 Pilot Medical Dr
Ste 225
Birmingham, AL 35235-3467

Mailing address

100 Pilot Medical Dr
Ste 225
Birmingham, AL 35235-3467
Phone (205) 854-8404

Other identifiers 2

IdentifierTypeStateIssuer
529302210MedicaidAL
1477511467OtherALGASTROENTEROLOGY SPECIALISTS OF BIRMINGHAM, P.C.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1477511467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DR",
            "address_2": "STE 225",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353467",
            "telephone_number": "205-854-8404",
            "fax_number": "205-854-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DR",
            "address_2": "STE 225",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353467",
            "telephone_number": "205-854-8404",
            "fax_number": "205-854-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY SPECIALISTS OF BIRMINGHAM,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "MEHRA",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-854-8404"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529302210",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GASTROENTEROLOGY SPECIALISTS OF BIRMINGHAM, P.C.",
            "identifier": "1477511467",
            "state": "AL"
        }
    ],
    "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 Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.