Active NPI
George Brandon Tisdale, M.D.
- Hospitalist Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 32532
- Practice address
- 817 Princeton Ave SW
Pob II, Suite 304
Birmingham, AL 35211-1333 - Phone
- (205) 783-7970
- Fax
- (205) 783-7695
- NPI assigned
- May 4, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32532 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 32532 | AL | Primary |
Addresses
Primary practice location
817 Princeton Ave SW
Pob II, Suite 304
Birmingham, AL 35211-1333
Mailing address
817 Princeton Ave SW
Pob II, Suite 304
Birmingham, AL 35211-1333
Phone (205) 783-7970
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Alabama School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Hwy 78 E
Jasper, AL 35501-8956
Phone (205) 387-4000
995 9TH Ave SW
Bessemer, AL 35022-4527
Phone (205) 514-1122
Hospital & facility affiliations
- Enhabit Hospice Birmingham
- Medical West, an Affiliate of Uab Health System
- University of Alabama Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 38.72 of 100
- Quality
- 30
- Improvement activities
- 0
- Cost
- 57.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32532 | AL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Concentric Hospitalist Group PC | Internal Medicine | Current | Accepting new patients |
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Medical West Hospital Authority, an Affiliate of Uab Health System | Past | Accepting new patients |
Locations
995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155
5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312
817 Princeton Ave SW
Ste 304
Birmingham, AL 35211
Phone (205) 783-7970
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Bessemer, AL
- NPI 1740667138
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
AL
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Family Medicine Physician
- Lincoln, AL
- NPI 1770547804
-
- General Acute Care Hospital
- Bessemer, AL
- NPI 1790896710
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Hoover, AL
- NPI 1609337229
-
- General Acute Care Hospital
- Bessemer, AL
- NPI 1790896710
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1477870293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 PRINCETON AVE SW",
"address_2": "POB II, SUITE 304",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111333",
"telephone_number": "205-783-7970",
"fax_number": "205-783-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 PRINCETON AVE SW",
"address_2": "POB II, SUITE 304",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111333",
"telephone_number": "205-783-7970",
"fax_number": "205-783-7695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISDALE",
"first_name": "GEORGE",
"middle_name": "BRANDON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-04",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "32532",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AL",
"license": "32532",
"primary": true
}
],
"identifiers": [],
"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 Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.