Individual provider Active NPI

Paul Richard Clark, M.D.

  • Neurological Surgery Physician
  • Homewood, AL
National Provider Identifier
1619388659
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
42296 Issued in AL
Practice address
513 Brookwood Blvd Ste 101
Homewood, AL 35209-6878
Phone
(205) 933-8981
Fax
(205) 930-0746
NPI assigned
May 13, 2014
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurological Surgery Physician 207T00000X 42296 AL Primary

Addresses

Primary practice location

513 Brookwood Blvd Ste 101
Homewood, AL 35209-6878

Mailing address

800 Saint Vincents Dr Ste 700
Birmingham, AL 35205-1630
Phone (205) 933-8981

Other practice location 1

4280 Watermelon Rd
Northport, AL 35473-5249
Phone (205) 933-8981

Other practice location 2

1004 1st St N Ste 270
Alabaster, AL 35007-8798
Phone (205) 933-8981

Other practice location 3

2500 N State St
Department of Neurosurgery
Jackson, MS 39216-4500
Phone (601) 984-5705

Other practice location 4

513 Brookwood Blvd Ste 260
Homewood, AL 35209-7844
Phone (205) 933-8981

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
I20210616001815 AL Practitioner - Neurosurgery 1658695523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of South Alabama College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates, P. C.Group PAC ID 7416933932, 10 clinicians

Practice addresses (Care Compare)

800 Saint Vincents Dr
Suite 700
Birmingham, AL 35205-1630
Phone 20593389811810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion245
Laminectomy or laminotomy (partial removal of spine bones)39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42296ALMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, P. C. Neurological Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

800 Saint Vincents Dr
Ste 700
Birmingham, AL 35205
Phone (205) 933-8981

Organizations & group practices 2

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 7

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1619388659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAINT VINCENTS DR STE 700",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051630",
            "telephone_number": "205-933-8981",
            "fax_number": "205-930-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD STE 101",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096878",
            "telephone_number": "205-933-8981",
            "fax_number": "205-930-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4280 Watermelon Rd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354735249",
            "country_code": "US",
            "telephone_number": "205-933-8981",
            "fax_number": "205-930-0746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 1st St N Ste 270",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078798",
            "country_code": "US",
            "telephone_number": "205-933-8981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 N State St",
            "address_2": "Department of Neurosurgery",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5705",
            "fax_number": "601-984-6986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "513 Brookwood Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "352097844",
            "country_code": "US",
            "telephone_number": "205-933-8981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "42296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.