Organization Active NPI

Red Mountain Internists PC

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1629139332
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RED MOUNTAIN INTERNISTS PC
Practice address
860 Montclair Rd
Suite 860
Birmingham, AL 35213-1923
Phone
(205) 599-3860
Fax
(205) 599-3869
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. Cecil Calvert Dodson III, M.D.
Title
President
Phone
(205) 599-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

860 Montclair Rd
Suite 860
Birmingham, AL 35213-1923

Mailing address

860 Montclair Rd
Suite 860
Birmingham, AL 35213-1923
Phone (205) 599-3860

Other identifiers 1

IdentifierTypeStateIssuer
0529603150MedicaidAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1629139332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MONTCLAIR RD",
            "address_2": "SUITE 860",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131923",
            "telephone_number": "205-599-3860",
            "fax_number": "205-599-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MONTCLAIR RD",
            "address_2": "SUITE 860",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131923",
            "telephone_number": "205-599-3860",
            "fax_number": "205-599-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN INTERNISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "CALVERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-599-3860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0529603150",
            "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 Dec 19, 2007; 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.