Active NPI
Phillip Frederick Fortmeyer, D.C.
- Chiropractor
- Birmingham, AL
National Provider Identifier
1497962906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1161
- Practice address
- 500 Southland Dr
Ste 100
Birmingham, AL 35226-3710 - Phone
- (205) 822-4325
- Fax
- (205) 822-4330
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1161 | AL | Primary |
Addresses
Primary practice location
500 Southland Dr
Ste 100
Birmingham, AL 35226-3710
Mailing address
1016 Wickford Rd
Birmingham, AL 35216-2317
Phone (205) 822-7213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1161 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1497962906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 WICKFORD RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352162317",
"telephone_number": "205-822-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SOUTHLAND DR",
"address_2": "STE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352263710",
"telephone_number": "205-822-4325",
"fax_number": "205-822-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTMEYER",
"first_name": "PHILLIP",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1161",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.