Ichiro Nakano, MD, PHD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

L.4206DP Issued in AL

Practice address

2000 6TH Ave S
Birmingham, AL 35233

Phone

(205) 934-7170

Fax

(205) 934-6507

NPI assigned

Sep 26, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1497905442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-934-7170",
            "fax_number": "205-934-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKANO",
        "first_name": "ICHIRO",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "F5357",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "L.4206DP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moon H Nahm, MD
• Erin Nail, CRNP
• Jordan Leigh Nail, CRNP
• Kayla Palmore Naish, PHARMD
• Ricardo Andres Najera, MD
• Angela Nakashian, MD
• Tetsuzo Nakayama Nakayama, M.D., PHD
• Jorge Cesar Fernando Nakazaki Aza, M.D.
• Ryan Nale, BSN, RN, CCRN
• Lena Nall, RN

• Neurological Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Neurological Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.