Individual provider Active NPI

Keith Bernard Parish, M.D.

  • Emergency Medicine Physician
  • Hoover, AL
National Provider Identifier
1487713343
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD27914 Issued in AL
Practice address
2503 John Hawkins Pkwy Ste 105
Hoover, AL 35244-3514
Phone
(205) 987-6801
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 10679R LA
Emergency Medicine Physician 207P00000X MD27914 AL Primary

Addresses

Primary practice location

2503 John Hawkins Pkwy Ste 105
Hoover, AL 35244-3514

Mailing address

2503 John Hawkins Pkwy Ste 105
Hoover, AL 35244-3514
Phone (205) 987-6801

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070606000233 AL Practitioner - General PracticePractitioner - Emergency Medicine 7618075250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Healthcare Development LLCGroup PAC ID 9739283813, 2 clinicians

Practice addresses (Care Compare)

2503 Hwy 150
Suite 105
Hoover, AL 35244-3514
Phone (205) 987-6801

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27914ALMDEmergency Medicine Physician
10679RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Healthcare Development LLC CurrentSince Mar 5, 2007 Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

2503 John Hawkins Pkwy
Ste 105
Hoover, AL 35244
Phone (205) 987-6801

1960 Gadsden Hwy
Ste 108
Trussville, AL 35235
Phone (205) 655-1016

Interoperability endpoints

  • Direct secure messaging: dr.parish@huc-al.direct.office.nextgen.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1487713343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 JOHN HAWKINS PKWY STE 105",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443514",
            "telephone_number": "205-987-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 JOHN HAWKINS PKWY STE 105",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443514",
            "telephone_number": "205-987-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISH",
        "first_name": "KEITH",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "10679R",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD27914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.