Individual provider Active NPI

Lauren Hutts, MD

  • Physical Medicine & Rehabilitation Physician
  • Birmingham, AL
National Provider Identifier
1619257110
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD.36609 Issued in AL
Practice address
200 N Pine Hill Rd
Birmingham, AL 35217-1215
Phone
(205) 849-2352
NPI assigned
Aug 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD.36609 AL Primary

Addresses

Primary practice location

200 N Pine Hill Rd
Birmingham, AL 35217-1215

Mailing address

130 Inverness PLZ # 185
Birmingham, AL 35242-4800
Phone (205) 291-1455

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
I20200709000680 AL Practitioner - Physical Medicine and Rehabilitation 7315360385 Reassigns benefits to 1 organization
Practice locations: Birmingham, AL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.36609ALMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonham LLC Physical Medicine & Rehabilitation CurrentSince Jul 3, 2020 Accepting new patients

Locations

200 N Pine Hill Rd
Birmingham, AL 35217
Phone (205) 249-2552

3800 Ridgeway Dr
Homewood, AL 35209
Phone (205) 396-7728

130 Inverness Plz
Hoover, AL 35242
Phone (205) 259-8223

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1619257110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INVERNESS PLZ # 185",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424800",
            "telephone_number": "205-291-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N PINE HILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352171215",
            "telephone_number": "205-849-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTS",
        "first_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-28",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "MD.36609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.