Individual provider Active NPI

Benton Allen Emblom, MD

  • Orthopaedic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1588873350
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25783 Issued in AL
Practice address
805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636
Phone
(205) 939-3699
Fax
(205) 484-2585
NPI assigned
May 21, 2007
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25783 AL Primary

Addresses

Primary practice location

805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636

Mailing address

805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636
Phone (205) 939-3699

Other practice location 1

5406 Highway 280 Ste D106
Hoover, AL 35242-6596
Phone (205) 939-3699

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
I20080909000200 AL Practitioner - Orthopedic Surgery 9931275393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
STV Sports Medicine and Orthopedics LLCGroup PAC ID 0446554562, 48 clinicians

Practice addresses (Care Compare)

5406 Hwy 280
Suite D106
Hoover, AL 35242-6596
Phone (205) 939-3699

7201 Happy Hollow Rd
Suite 202 a
Trussville, AL 35173-2458
Phone (205) 939-3699

805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1638
Phone (205) 939-3699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement32
Knee replacement25
Lower limb (leg) arthroscopy (minimally invasive joint repair)34
Upper limb (arm) arthroscopy (minimally invasive joint repair)47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Jan 4, 2016 Accepting new patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Jan 4, 2016 Accepting new patients
STV Sports Medicine & Orthopedics LLC PastSince Oct 1, 2023 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

5406 Highway 280
Ste D106
Hoover, AL 35242

7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173

Interoperability endpoints

  • Direct secure messaging: bemblom@andrewssm.emadirect.md
  • Direct secure messaging: bemblom@asmoc1682.srs-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1588873350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-939-3699",
            "fax_number": "205-484-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-939-3699",
            "fax_number": "205-484-2585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5406 Highway 280 Ste D106",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352426596",
            "country_code": "US",
            "telephone_number": "205-939-3699",
            "fax_number": "205-484-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMBLOM",
        "first_name": "BENTON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "25783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.