Active NPI
Robert M Pritchett, MD
- Dermatology Physician
- Birmingham, AL
National Provider Identifier
1629050752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 7094
- Practice address
- 2700 10TH Ave S
Ste 400
Birmingham, AL 35205-1200 - Phone
- (205) 933-7710
- Fax
- (205) 933-8685
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 7094 | AL | Primary |
| Pediatric Dermatology Physician | 207NP0225X | 7094 | AL | |
| Procedural Dermatology Physician | 207NS0135X | 7094 | AL |
Addresses
Primary practice location
2700 10TH Ave S
Ste 400
Birmingham, AL 35205-1200
Mailing address
2700 10TH Ave S
Ste 400
Birmingham, AL 35205-1200
Phone (205) 933-7710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45156 | Other | BLUE CROSS |
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 |
|---|---|---|---|
| 7094 | AL | MD | Pediatric Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Neurology Associates, P.C. | Past | Accepting new patients |
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.
-
- Neurology Physician
- Birmingham, AL
- NPI 1942362991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1629050752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 10TH AVE S",
"address_2": "STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051200",
"telephone_number": "205-933-7710",
"fax_number": "205-933-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 10TH AVE S",
"address_2": "STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051200",
"telephone_number": "205-933-7710",
"fax_number": "205-933-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHETT",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AL",
"license": "7094",
"primary": true
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "AL",
"license": "7094",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "AL",
"license": "7094",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "45156",
"state": null
}
],
"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 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.