Active NPI
Mike J. Chen, M.D.
- Internal Medicine Physician
- Hueytown, AL
National Provider Identifier
1609989441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17664
- Practice address
- 2800 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1845 - Phone
- (205) 744-4410
- Fax
- (205) 744-6150
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17664 | AL | Primary |
Addresses
Primary practice location
2800 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1845
Mailing address
2800 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1845
Phone (205) 744-4410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000022881 | Medicaid | AL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1609989441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 ALLISON BONNETT MEMORIAL DR",
"city": "HUEYTOWN",
"state": "AL",
"postal_code": "350231845",
"telephone_number": "205-744-4410",
"fax_number": "205-744-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 ALLISON BONNETT MEMORIAL DR",
"city": "HUEYTOWN",
"state": "AL",
"postal_code": "350231845",
"telephone_number": "205-744-4410",
"fax_number": "205-744-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "MIKE",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "17664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000022881",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hueytown, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.