Active NPI
John Benton Crider, M.D.
- Family Medicine Physician
- Arab, AL
National Provider Identifier
1528086642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14729
- Practice address
- 1170 N Main St
Arab, AL 35016-1070 - Phone
- (256) 586-4127
- Fax
- (256) 586-0535
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14729 | AL | Primary |
Addresses
Primary practice location
1170 N Main St
Arab, AL 35016-1070
Mailing address
1170 N Main St
Arab, AL 35016-1070
Phone (256) 586-4127
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110316000360 | AL | Practitioner - Family Practice | 2365624160 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Alabama College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1170 N Main St
Arab, AL 35016-1070
Phone (256) 586-4127
Hospital & facility affiliations
- Medical Centers Homecare
- Marshall Medical Centers
- Cullman Regional Medical Center
- Huntsville Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 46 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John B Crider, MD, LLC | Family Medicine | Current | Accepting new patients |
Locations
1170 N Main St
Arab, AL 35016
Phone (256) 586-4127
Interoperability endpoints
- johncrider@jc.allscriptsdirect.net
Organizations & group practices 1
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 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cullman, AL
- NPI 1114919339
Hospital
-
- Home Health Agency
- Albertville, AL
- NPI 1568645836
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528086642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 N MAIN ST",
"city": "ARAB",
"state": "AL",
"postal_code": "350161070",
"telephone_number": "256-586-4127",
"fax_number": "256-586-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 N MAIN ST",
"city": "ARAB",
"state": "AL",
"postal_code": "350161070",
"telephone_number": "256-586-4127",
"fax_number": "256-586-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIDER",
"first_name": "JOHN",
"middle_name": "BENTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "14729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arab, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.