Active NPI
Michael A Drummond, MD
- Vascular Surgery Physician
- Birmingham, AL
National Provider Identifier
1548242563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 00013686
- Practice address
- 817 Princeton Ave SW
Suite 306
Birmingham, AL 35211-1333 - Phone
- (205) 783-0160
- Fax
- (205) 788-6249
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 00013686 | AL | Primary |
Addresses
Primary practice location
817 Princeton Ave SW
Suite 306
Birmingham, AL 35211-1333
Mailing address
817 Princeton Ave SW
Suite 306
Birmingham, AL 35211-1333
Phone (205) 783-0160
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009914005 | Medicaid | AL | |
| MICH1440396 | Other | AL | UMWA |
| 009913995 | Medicaid | AL | |
| 3710040 | Other | AL | UNITEDHEALTH CARE |
| CL1402 | Other | AL | RRM |
| E45266 | Other | AL | SENIORS FIRST |
| 009913975 | Medicaid | AL | |
| 009931917 | Medicaid | AL | |
| E45266 | Other | AL | HEALTH SPRINGS |
| 000089937 | Medicaid | AL | |
| 3710040 | Other | AL | MEDICARE COMPLETE |
| 009913985 | Medicaid | AL | |
| 770000077 | Other | AL | RAILROAD MEDICARE |
| E45266 | Other | AL | VIVA HEALTH CARE |
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 |
|---|---|---|---|---|
| I20070515000478 | AL | Practitioner - Vascular Surgery | 3577508142 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00013686 | AL | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1548242563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 PRINCETON AVE SW",
"address_2": "SUITE 306",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111333",
"telephone_number": "205-783-0160",
"fax_number": "205-788-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 PRINCETON AVE SW",
"address_2": "SUITE 306",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111333",
"telephone_number": "205-783-0160",
"fax_number": "205-788-6249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUMMOND",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AL",
"license": "00013686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009914005",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "MICH1440396",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009913995",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTH CARE",
"identifier": "3710040",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "CL1402",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIORS FIRST",
"identifier": "E45266",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009913975",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009931917",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SPRINGS",
"identifier": "E45266",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000089937",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE COMPLETE",
"identifier": "3710040",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009913985",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "770000077",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA HEALTH CARE",
"identifier": "E45266",
"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 Nov 16, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.