Individual provider Active NPI

Graham Osaretin Osula, M.D.

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1528226479
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30400 Issued in AL
Practice address
1530 2ND Ave N
Birmingham, AL 35203-1825
Phone
(659) 345-3662
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30400 AL Primary

Addresses

Primary practice location

1530 2ND Ave N
Birmingham, AL 35203-1825

Mailing address

2108 Joyce St
Birmingham, AL 35205-6814

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30400ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Behavioral Care LLC Psychiatry CurrentSince Oct 20, 2024 Accepting new patients
Eastside Mental Health Center Past Accepting new patients

Locations

1530 2nd Ave N
Birmingham, AL 35203
Phone (659) 345-3662

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1528226479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 JOYCE ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352056814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 2ND AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031825",
            "telephone_number": "659-345-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSULA",
        "first_name": "GRAHAM",
        "middle_name": "OSARETIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "30400",
            "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 Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.