Individual provider Active NPI

Larry F Gazzini, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1598874620
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15845 Issued in AL
Practice address
513 Brookwood Blvd
Suite 50
Birmingham, AL 35209-6862
Phone
(205) 877-2761
Fax
(205) 877-2399
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15845 AL Primary

Addresses

Primary practice location

513 Brookwood Blvd
Suite 50
Birmingham, AL 35209-6862

Mailing address

513 Brookwood Blvd
Suite 50
Birmingham, AL 35209-6862
Phone (205) 877-2761

Other practice location 1

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 877-1000

Other identifiers 5

IdentifierTypeStateIssuer
E88735OtherVIVA
515-03328OtherBLUE CROSS BLUE SHIELD
9960810MedicaidAL
110224929OtherRAILROAD MEDICARE
631266801 0001OtherCIGNA

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
I20100903000844 AL Practitioner - Internal Medicine 1254347339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians
Brookwood Internists PCGroup PAC ID 6406875418, 13 clinicians

Practice addresses (Care Compare)

2050 Gadsden Hwy
Suite 104
Birmingham, AL 35235-3260
Phone (205) 655-7231

513 Brookwood Blvd
Suite 50
Birmingham, AL 35209-7802
Phone 2058772761170

Hospital & facility affiliations

  • Prohealth Home Health, LLC Home health agency, Birmingham, AL, CCN 017179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15845ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookwood Internists PC Internal Medicine CurrentSince Oct 1, 2001 Accepting new patients
Southern Medical Group, Inc Past Accepting new patients

Locations

513 Brookwood Blvd
Ste 50
Homewood, AL 35209
Phone (205) 877-2761

Interoperability endpoints

  • Direct secure messaging: larry.gazzini@brookwoodinternists.directbygreenway.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1598874620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "SUITE 50",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-877-2761",
            "fax_number": "205-877-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "SUITE 50",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-877-2761",
            "fax_number": "205-877-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Brookwood Med Ctr Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096804",
            "country_code": "US",
            "telephone_number": "205-877-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAZZINI",
        "first_name": "LARRY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "15845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "E88735",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515-03328",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9960810",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110224929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "631266801 0001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.