NPIMap

Organization Active NPI

BHC - Edwin Moyo MD

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1497719652
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BHC - EDWIN MOYO MD
Practice address
1821 20TH Street Ensley
Birmingham, AL 35218-2221
Phone
(205) 785-3101
Fax
(205) 783-9305
NPI assigned
Apr 14, 2006
Organization subpart
Yes
Parent organization
BAPTIST HEALTH CENTERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
G. Scott Fenn
Title
Chief Integration Officer
Phone
(205) 715-5904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1821 20TH Street Ensley
Birmingham, AL 35218-2221

Mailing address

PO Box 830605
Birmingham, AL 35283-0605
Phone (205) 715-5904

Other identifiers 1

IdentifierTypeStateIssuer
529907410MedicaidAL

National Provider Directory

National Provider Directory
Part of
Baptist Health Centers LLC

Locations

3500 Blue Lake Dr
Ste 499
Vestavia, AL 35243
Phone (205) 290-0013

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1497719652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830605",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830605",
            "telephone_number": "205-715-5904",
            "fax_number": "205-715-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 20TH STREET ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352182221",
            "telephone_number": "205-785-3101",
            "fax_number": "205-783-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC - EDWIN MOYO MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC",
        "enumeration_date": "2006-04-14",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF INTEGRATION OFFICER",
        "authorized_official_telephone_number": "205-715-5904"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529907410",
            "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 Feb 26, 2009; 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.