Active NPI
Clement P Cotter Jr., M.D.
- Specialist
- Alabaster, AL
National Provider Identifier
1609984152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00010998
- Practice address
- 1216 1St St N
Hwy 31
Alabaster, AL 35007-8702 - Phone
- (205) 664-4630
- Fax
- (205) 664-4658
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00010998 | AL | Primary |
Addresses
Primary practice location
1216 1St St N
Hwy 31
Alabaster, AL 35007-8702
Mailing address
1216 1St St N
Hwy 31
Alabaster, AL 35007-8702
Phone (205) 664-4630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51535894 | Other | AL | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00010998 | AL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609984152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 1ST ST N",
"address_2": "HWY 31",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078702",
"telephone_number": "205-664-4630",
"fax_number": "205-664-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 1ST ST N",
"address_2": "HWY 31",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078702",
"telephone_number": "205-664-4630",
"fax_number": "205-664-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTER",
"first_name": "CLEMENT",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "00010998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51535894",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alabaster, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.