NPIMap

Individual provider Active NPI

Alfred J Newman Jr., MD PHD

  • Urology Physician
  • Montgomery, AL
National Provider Identifier
1609864867
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
8045 Issued in AL
Practice address
1722 Pine St Ste 903
Montgomery, AL 36106-1104
Phone
(334) 265-6933
Fax
(334) 265-7415
NPI assigned
Oct 12, 2005
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 8045 AL Primary

Addresses

Primary practice location

1722 Pine St Ste 903
Montgomery, AL 36106-1104

Mailing address

1722 Pine St Ste 903
Montgomery, AL 36106-1104
Phone (334) 265-6933

Other identifiers 2

IdentifierTypeStateIssuer
00082994MedicaidAL
82994OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080229000229 AL Practitioner - Urology 1850475856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of South Alabama College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

101 Hospital Dr
Luverne, AL 36049-7344
Phone (334) 293-6858

1722 Pine St
Montgomery, AL 36106-1104

1722 Pine St
Montgomery, AL 36106-1109

1722 Pine St
Montgomery, AL 36106-1160

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 293-8000

44 Medical Arts CT
Greenville, AL 36037-3869
Phone (334) 293-8922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
46.01 of 100Reported as individual
Quality
56.39
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8045ALMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Jackson Hospital and Clinic, Inc. Urology CurrentSince Aug 1, 2023 Accepting new patients
Jackson Clinic Urology-Dr Newman Urology CurrentSince Nov 9, 2007 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients
Jackson Hospital and Clinic Inc. Past Accepting new patients
Jackson Hospital and Clinic, Inc Past Accepting new patients

Locations

1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123

1722 Pine St
Ste 903
Montgomery, AL 36106
Phone (334) 241-0061

1722 Pine St
Ste 904
Montgomery, AL 36106
Phone (334) 265-9225

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

Interoperability endpoints

  • Direct secure messaging: alfred.newman.1@9186.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1609864867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 903",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061104",
            "telephone_number": "334-265-6933",
            "fax_number": "334-265-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 903",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061104",
            "telephone_number": "334-265-6933",
            "fax_number": "334-265-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ALFRED",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "8045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00082994",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "82994",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.