Individual provider Active NPI

Edgar S Underwood, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1528063716
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
00008292 Issued in AL
Practice address
619 19TH Street South
Birmingham, AL 35233
Phone
(205) 934-4011
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 00008292 AL Primary

Addresses

Primary practice location

619 19TH Street South
Birmingham, AL 35233

Mailing address

PO Box 55309
Birmingham, AL 35255-5309

Other identifiers 5

IdentifierTypeStateIssuer
051536232OtherALBLUE CROSS
051536233OtherALBLUE CROSS
06479807MedicaidMS
009938902MedicaidAL
051536231OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000944 AL Practitioner - Diagnostic Radiology 4082528716 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Radiological Group PCGroup PAC ID 8022922756, 40 clinicians

Practice addresses (Care Compare)

100 Pilot Medical Ctr Dr
Suite 150
Birmingham, AL 35235-3412
Phone (205) 838-1971

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00008292ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 11, 2006 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Prime Healthcare Services-Gadsden Physician Management LLC CurrentSince Jun 1, 2024 Accepting new patients
Birmingham Radiological Group, PC CurrentSince Oct 28, 2018 Accepting new patients
Birmingham Radiological Group PC Diagnostic Radiology CurrentSince Oct 28, 2018 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince Dec 28, 2025 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

100 Pilot Medical Dr
Ste 150
Birmingham, AL 35235
Phone (205) 838-1971

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

44 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3660

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01B0
  • bcbs alabama network 01A0
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • bcbs alabama network 01I0

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1528063716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH STREET SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "EDGAR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00008292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051536232",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051536233",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06479807",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938902",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051536231",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.