Individual provider Active NPI

Jeffrey D Anderson, MD

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1528095007
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
24640 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35233-1900
Phone
(205) 934-4011
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Mobile, PC 33 clinicians

Practice addresses (Care Compare)

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

Hospital & facility affiliations

  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006

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
I20041123000848 AL Practitioner - Emergency Medicine 0446219083 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24640ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Emergency Physician Group Emergency Medicine CurrentSince Jul 13, 2012 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2023 Accepting new patients
Emergency Services of Mobile PC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Tidewater Emergency Medical Care, LTD. Emergency Medicine Past Accepting new patients
North Alabama Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Tidewater Emergency Medical Care PastSince Feb 2, 2020 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

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

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

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 47165 MN
Emergency Medicine Physician 207P00000X 24640 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

619 19TH St S
Birmingham, AL 35233-1900

Mailing address

1300 S Montgomery Ave
Sheffield, AL 35660-6367
Phone (256) 366-4592

Other practice location 1

1300 S Montgomery Ave
Sheffield, AL 35660-6367
Phone (256) 386-4592

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2023.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1528095007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606367",
            "telephone_number": "256-366-4592",
            "fax_number": "256-386-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Montgomery Ave",
            "address_purpose": "LOCATION",
            "city": "Sheffield",
            "state": "AL",
            "postal_code": "356606367",
            "country_code": "US",
            "telephone_number": "256-386-4592",
            "fax_number": "256-386-4132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "47165",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "24640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.