Organization Active NPI

Podiatry Associates PC

  • Foot Surgery Podiatrist
  • Birmingham, AL
National Provider Identifier
1497957500
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
94 Issued in AL
Legal business name
PODIATRY ASSOCIATES PC
Practice address
1101 18TH St S
Birmingham, AL 35205-4702
Phone
(205) 933-9595
Fax
(205) 933-5250
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Dr. Robert I Russell, DPMNPI 1265420673
Title
Owner
Phone
(205) 933-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X 94 AL Primary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X 124 AL

Addresses

Primary practice location

1101 18TH St S
Birmingham, AL 35205-4702

Mailing address

1101 18TH St S
Birmingham, AL 35205-4702
Phone (205) 933-9595

Other practice location 1

1009 Montgomery Hwy Ste 100
Vestavia Hills, AL 35216-2843
Phone (205) 822-2116

Other identifiers 3

IdentifierTypeStateIssuer
1201219OtherALUHC RUSSELL
697685OtherALUHC GROUP
968248OtherALUHC BOWMAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051123000644 AL Part B Supplier - Clinic/Group Practice 0749200442 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Vestavia Hills, AL; Birmingham, AL; Sylacauga, AL
O20100930010530 AL DME Supplier - Physician - Podiatry 0749200442 Practice locations: Birmingham, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Podiatry Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 18th St S
Birmingham, AL 35205
Phone (205) 933-9595

1717 11th Ave S
Ste 402
Birmingham, AL 35205
Phone (205) 933-9595

9 Western Ave
Sylacauga, AL 35150
Phone (256) 249-2212

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1497957500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 18TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054702",
            "telephone_number": "205-933-9595",
            "fax_number": "205-933-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 18TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054702",
            "telephone_number": "205-933-9595",
            "fax_number": "205-933-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Montgomery Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352162843",
            "country_code": "US",
            "telephone_number": "205-822-2116",
            "fax_number": "205-979-9422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-933-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "94",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC RUSSELL",
            "identifier": "1201219",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC GROUP",
            "identifier": "697685",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC BOWMAN",
            "identifier": "968248",
            "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 Nov 4, 2025; 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.