NPIMap

Organization Active NPI

Viking Medical Supply Inc

Doing business as Viking Medical

  • Durable Medical Equipment & Medical Supplies
  • Birmingham, AL
National Provider Identifier
1629183314
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
312 Issued in AL
Legal business name
VIKING MEDICAL SUPPLY INC
Doing business as
Viking Medical
Practice address
1201 3Rd Ave N
Birmingham, AL 35203-1628
Phone
(205) 631-8915
Fax
(205) 278-6900
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Mr. Lonnie Blake Dorcey, COF, RPTNPI 1033165113
Title
Owner/President
Phone
(205) 631-8915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 312 AL Primary
Prosthetic/Orthotic Supplier 335E00000X 128 AL

Addresses

Primary practice location

1201 3Rd Ave N
Birmingham, AL 35203-1628

Mailing address

PO Box 550309
Birmingham, AL 35255-0309
Phone (205) 631-8915

Other identifiers 1

IdentifierTypeStateIssuer
51093833VIKOtherALBCBS

Other names 1

  • Viking Medical Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Birmingham Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1201 3rd Ave N
Birmingham, AL 35203
Phone (205) 631-8915

2509 5th Ave S
Birmingham, AL 35233
Phone (205) 488-3021

Practitioners & affiliated clinicians

Practitioners 1

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1629183314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352550309",
            "telephone_number": "205-631-8915",
            "fax_number": "205-278-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 3RD AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031628",
            "telephone_number": "205-631-8915",
            "fax_number": "205-278-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKING MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "DORCEY",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "205-631-8915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COF, RPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "312",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51093833VIK",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Birmingham",
            "affiliation": "N",
            "endpointDescription": "birmingham",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1201 3rd Ave N",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352031628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Viking Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Viking Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2020; 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.