Individual provider Active NPI

Sean Omalley, MD

  • Neurological Surgery Physician
  • Alabaster, AL
National Provider Identifier
1629034111
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
22549 Issued in AL
Practice address
632 2ND St NE
Alabaster, AL 35007-8766
Phone
(205) 621-0122
Fax
(205) 621-0145
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 22549 AL Primary

Addresses

Primary practice location

632 2ND St NE
Alabaster, AL 35007-8766

Mailing address

632 2ND St NE
Alabaster, AL 35007-8766
Phone (205) 621-0122

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
I20050816000575 AL Practitioner - Neurosurgery 0648200063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
George Washington University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

632 2ND St NE
Alabaster, AL 35007-8817
Phone (205) 621-0122

832 2ND St NE
Albaster, AL 35007-8817

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion83
Laminectomy or laminotomy (partial removal of spine bones)131
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22549ALMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Brain & Spine Center PC CurrentSince Nov 1, 2001 Accepting new patients

Locations

632 2nd St NE
Alabaster, AL 35007
Phone (205) 621-0122

1004 1st St N
Ste 150
Alabaster, AL 35007
Phone (205) 621-0122

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.

Hospital & facility affiliations 4

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1629034111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 2ND ST NE",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078766",
            "telephone_number": "205-621-0122",
            "fax_number": "205-621-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 2ND ST NE",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078766",
            "telephone_number": "205-621-0122",
            "fax_number": "205-621-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMALLEY",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "22549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.