Active NPI
John M Gerwin, M.D.
- Otolaryngology Physician
- Birmingham, AL
National Provider Identifier
1619981362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 7429
- Practice address
- 833 Saint Vincents Dr
Pob# 3 Suite 402
Birmingham, AL 35205-1606 - Phone
- (205) 933-9236
- Fax
- (205) 933-9213
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 7429 | AL | Primary |
Addresses
Primary practice location
833 Saint Vincents Dr
Pob# 3 Suite 402
Birmingham, AL 35205-1606
Mailing address
833 Saint Vincents Dr
Pob# 3 Suite 402
Birmingham, AL 35205-1606
Phone (205) 933-9236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000002248 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7429 | AL | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1619981362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 SAINT VINCENTS DR",
"address_2": "POB# 3 SUITE 402",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051606",
"telephone_number": "205-933-9236",
"fax_number": "205-933-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 SAINT VINCENTS DR",
"address_2": "POB# 3 SUITE 402",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051606",
"telephone_number": "205-933-9236",
"fax_number": "205-933-9213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERWIN",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AL",
"license": "7429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000002248",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.