Individual provider Active NPI

Michael A Drummond, MD

  • Vascular Surgery Physician
  • Birmingham, AL
National Provider Identifier
1548242563
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
00013686 Issued in AL
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

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009914005MedicaidAL
MICH1440396OtherALUMWA
009913995MedicaidAL
3710040OtherALUNITEDHEALTH CARE
CL1402OtherALRRM
E45266OtherALSENIORS FIRST
009913975MedicaidAL
009931917MedicaidAL
E45266OtherALHEALTH SPRINGS
000089937MedicaidAL
3710040OtherALMEDICARE COMPLETE
009913985MedicaidAL
770000077OtherALRAILROAD MEDICARE
E45266OtherALVIVA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070515000478 AL Practitioner - Vascular Surgery 3577508142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00013686ALMDVascular 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

Verify at the official NPI Registry.