Organization Active NPI

Alabama Colon & Rectal Institute, P.C.

  • Colon & Rectal Surgery Physician
  • Birmingham, AL
National Provider Identifier
1588721773
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
ALABAMA COLON & RECTAL INSTITUTE, P.C.
Practice address
1317 4TH Ave S
Birmingham, AL 35233-1408
Phone
(205) 458-5000
Fax
(205) 458-5005
NPI assigned
Jan 3, 2007
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Dr. Dan J Coyle Jr., M.D.
Title
President
Phone
(205) 458-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X Primary

Addresses

Primary practice location

1317 4TH Ave S
Birmingham, AL 35233-1408

Mailing address

1317 4TH Ave S
Birmingham, AL 35233-1408
Phone (205) 458-5000

Other identifiers 1

IdentifierTypeStateIssuer
CE0105OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041117000966 AL Part B Supplier - Clinic/Group Practice 8820052954 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory
Tax ID family
Alabama Colon Rectal Inst2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1588721773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 4TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331408",
            "telephone_number": "205-458-5000",
            "fax_number": "205-458-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 4TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331408",
            "telephone_number": "205-458-5000",
            "fax_number": "205-458-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA COLON & RECTAL INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-458-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE0105",
            "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 Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.