Birmingham Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BIRMINGHAM PODIATRY PC

Practice address

805 St. Vincent's Drive
Suite 420
Birmingham, AL 35205-2704

Phone

(205) 324-8511

Fax

(205) 324-0319

NPI assigned

Feb 12, 2007

Last updated

Mar 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John L Roberson Jr., DPMNPI 1154303105

Title

Owner

Phone

(205) 324-8511

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Birmingham Podiatry PC

  dba Cullman Podiatry

  • Podiatrist
  • Cullman, AL
  • NPI 1588705883

  O20040406000826

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Birmingham Podiatry PC

  dba Cullman Podiatry

  • Podiatrist
  • Cullman, AL
  • NPI 1588705883
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John L Roberson Jr., DPM

  • Podiatrist
  • Birmingham, AL
  • NPI 1154303105
  Medicare reassignment Care Compare group NPD Authorized official
• Jamie L Cleckler, D.P.M.

  • Podiatrist
  • Birmingham, AL
  • NPI 1174562755
  Medicare reassignment Care Compare group NPD
• Rupa Jayagopal, D.P.M.

  • Podiatrist
  • Birmingham, AL
  • NPI 1902292873

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Tracy A Hjelmstad, DPM

  • Podiatrist
  • Paris, TX
  • NPI 1487741328

  AL

  Medicare reassignment Care Compare group NPD
• Natalie Josephine Giammanco, DPM

  • Primary Podiatric Medicine Podiatrist
  • Birmingham, AL
  • NPI 1427020171
  Medicare reassignment Care Compare group
• Geoffrey Harrison Dye, D.P.M

  • Foot Surgery Podiatrist
  • Pell City, AL
  • NPI 1609146273
  Medicare reassignment NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1477695013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ST. VINCENT'S DRIVE",
            "address_2": "SUITE 420",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-324-8511",
            "fax_number": "205-324-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ST. VINCENT'S DRIVE",
            "address_2": "SUITE 420",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052704",
            "telephone_number": "205-324-8511",
            "fax_number": "205-324-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-324-8511",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051598947",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051070942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051514505",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000070338",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000070353",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051070353",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174562755",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000070942",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051070338",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890009900",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.