NPIMap

Organization Active NPI

Birmingham Heart Clinic, PLLC

  • Specialist
  • Birmingham, AL
National Provider Identifier
1508932583
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00006973 Issued in AL
Legal business name
BIRMINGHAM HEART CLINIC, PLLC
Practice address
100 Pilot Medical Drive
Suite 300
Birmingham, AL 35235-3412
Phone
(205) 856-2284
Fax
(205) 815-4777
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
John Underwood
Title
VP Treasurer
Phone
(817) 948-3428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00006973 AL Primary

Addresses

Primary practice location

100 Pilot Medical Drive
Suite 300
Birmingham, AL 35235-3412

Mailing address

100 Pilot Medical Dr Ste 300
Birmingham, AL 35235-3412
Phone (205) 856-2284

Other identifiers 2

IdentifierTypeStateIssuer
CC5229OtherALRRMC
529602240MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000428 AL Part B Supplier - Clinic/Group Practice 6901822444 Receives reassigned benefits from 30 practitioners
Practice locations: Pell City, AL; Rainbow City, AL; Oneonta, AL; Gardendale, AL; 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).

National Provider Directory

National Provider Directory
Tax ID family
Birmingham Heart Clinic2 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

50 Medical Park Dr E
Ste 100
Birmingham, AL 35235

74 Plaza Dr
Ste 2B
Pell City, AL 35125
Phone (205) 856-2284

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1508932583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DR STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353412",
            "telephone_number": "205-856-2284",
            "fax_number": "205-815-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DRIVE",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353412",
            "telephone_number": "205-856-2284",
            "fax_number": "205-815-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM HEART CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP TREASURER",
        "authorized_official_telephone_number": "817-948-3428"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "00006973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "CC5229",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529602240",
            "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 Sep 11, 2026; 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.