Jessica Nicole Bentley, M.D.
Individual provider Active NPI Neurological Surgery Physician · Birmingham, AL
NPI 1598084394 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1598084394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 36876 (AL)
- Practice address
- Jt727 619 19TH St S
Birmingham, AL 35294 - Phone
- (205) 934-7170
- Fax
- (205) 934-6507
- NPI assigned
- May 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Alabama Health Services Foundation, PC
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- University of Alabama Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181016002930 | AL | Practitioner - Neurosurgery | 6305152828 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36876 | AL | MD | Neurological Surgery Physician |
| 077547 | GA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients | |
| University of Alabama at Birmingham | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
Interoperability endpoints
- jbentley@direct.uabmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 077547 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurological Surgery Physician | 207T00000X | 36876 | AL | Yes |
Addresses
Primary practice location
Jt727 619 19TH St S
Birmingham, AL 35294
Mailing address
Jt727 619 19TH St S
Birmingham, AL 35294-3410
Phone (205) 934-7170
Other practice location 1
Jt727 619 19th St S
Birmingham, AL 35294
Phone (205) 934-7170
Other practice location 2
2000 6th Ave S
Birmingham, AL 35233-2110
Phone (205) 934-7170
Other practice location 3
2000 6th Ave S
Birmingham, AL 35233-2110
Phone (205) 934-7170
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbentley@direct.uabmedicine.org | University of Alabama Hospital | |
| Direct Messaging Address | jbentley@direct.uabmedicine.org | University of Alabama Hospital |
Other providers in Birmingham, AL
- Virginia Elizabeth Bensinger
- Charles M Benson
- Gayle Benson
- Paul Vincentin Benson
- Rosalind Boonarkat Benson
- Kathryn Ashley Bentley
- Matthew B Bentley
- Melissa Bentley
- Elizabeth Cason Benton
- Jodie B Benton
All providers in Birmingham, AL · Neurological Surgery Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.