Organization Active NPI

Alabama Gastroenterology Associates PC

  • Gastroenterology Physician
  • Birmingham, AL
National Provider Identifier
1558314591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ALABAMA GASTROENTEROLOGY ASSOCIATES PC
Practice address
2022 Brookwood Medical Ctr Dr
Suite 626
Birmingham, AL 35209-6808
Phone
(205) 871-3200
Fax
(205) 871-3272
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donna Dunson Beasley
Title
Office Manager
Phone
(205) 871-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X AL Primary

Addresses

Primary practice location

2022 Brookwood Medical Ctr Dr
Suite 626
Birmingham, AL 35209-6808

Mailing address

2022 Brookwood Medical Ctr Dr
Suite 626
Birmingham, AL 35209-6808
Phone (205) 871-3200

Other identifiers 2

IdentifierTypeStateIssuer
CL0526OtherALRAILROAD MEDICARE PROVIDE
0023000OtherALUNITED HEALTHCARE PROVIDE

National Provider Directory

National Provider Directory

Locations

2022 Brookwood Medical Ctr Dr
Ste 626
Birmingham, AL 35209
Phone (205) 877-2130

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558314591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 626",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-871-3200",
            "fax_number": "205-871-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 626",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-871-3200",
            "fax_number": "205-871-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA GASTROENTEROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "DUNSON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-871-3200"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "CL0526",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDE",
            "identifier": "0023000",
            "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 Aug 22, 2020; 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.