Organization Active NPI

Alabama Head and Neck Clinic

  • Specialist
  • Bessemer, AL
National Provider Identifier
1629089701
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALABAMA HEAD AND NECK CLINIC
Practice address
730 Memorial Dr
Suite 108
Bessemer, AL 35022-6032
Phone
(205) 424-1450
Fax
(205) 424-6077
NPI assigned
Aug 11, 2006
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Jorge Alberto Caceres, M.D.NPI 1699796938
Title
President / Physician
Phone
(205) 424-1450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 572-A AL

Addresses

Primary practice location

730 Memorial Dr
Suite 108
Bessemer, AL 35022-6032

Mailing address

PO Box 1445
Bessemer, AL 35021-1445
Phone (205) 424-1450

Other identifiers 1

IdentifierTypeStateIssuer
528200800MedicaidAL

National Provider Directory

National Provider Directory

Locations

705 Memorial Dr
Bessemer, AL 35022
Phone (205) 424-1450

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1629089701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1445",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350211445",
            "telephone_number": "205-424-1450",
            "fax_number": "205-424-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MEMORIAL DR",
            "address_2": "SUITE 108",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226032",
            "telephone_number": "205-424-1450",
            "fax_number": "205-424-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA HEAD AND NECK CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "205-424-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "AL",
            "license": "572-A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528200800",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.