NPIMap

Organization Active NPI

Disability Determination Service St of Al

  • Neurology Physician
  • Birmingham, AL
National Provider Identifier
1588917728
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4508 Issued in AL
Legal business name
DISABILITY DETERMINATION SERVICE ST OF AL
Practice address
2545 Rocky Ridge LN
Birmingham, AL 35216-4836
Phone
(205) 989-2100
NPI assigned
Oct 25, 2012
Last updated
Oct 25, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPT OF EDUCATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Krishna Reddy, MD
Title
Medical Consultant
Phone
(205) 989-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4508 AL Primary

Addresses

Primary practice location

2545 Rocky Ridge LN
Birmingham, AL 35216-4836

Mailing address

2545 Rocky Ridge LN
Birmingham, AL 35216-4836
Phone (205) 989-2100

National Provider Directory

National Provider Directory
Tax ID family
State Allowndes Co HLTH45 organizations share this tax ID, including this one
Part of
State Allowndes Co HLTH

Other organizations with this tax ID 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1588917728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 ROCKY RIDGE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164836",
            "telephone_number": "205-989-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 ROCKY RIDGE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164836",
            "telephone_number": "205-989-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY DETERMINATION SERVICE ST OF AL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPT OF EDUCATION",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "MEDICAL CONSULTANT",
        "authorized_official_telephone_number": "205-989-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 25, 2012; 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.