Active NPI
Benjamin A. Davidson, M.D.
- Family Medicine Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31030
- Practice address
- 3209 Ensley 5 Points W Ave
Birmingham, AL 35208-2715 - Phone
- (659) 903-4344
- Fax
- (659) 903-5944
- NPI assigned
- Sep 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31030 | AL | Primary |
Addresses
Primary practice location
3209 Ensley 5 Points W Ave
Birmingham, AL 35208-2715
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
4614 Carnegie Ave
Fairfield, AL 35064-1430
Phone (205) 785-1353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629228887 | Medicaid | AL | |
| 511-16445 | Other | AL | BLUECROSS BLUESHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Alabama College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3209 Ensley 5 Points W Ave
Birmingham, AL 35208-2715
Phone (659) 903-4344
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31030 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Archwell Health Professional Services of Alabama, LLC | Current | Accepting new patients |
Locations
3209 Ensley 5 Points W Ave
Birmingham, AL 35208
Phone (205) 786-3455
195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455
4614 Carnegie Ave
Fairfield, AL 35064
Phone (205) 785-1353
165 Bessemer Super Hwy
Midfield, AL 35228
Phone (205) 336-1534
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Interoperability endpoints
- benjamin.davidson.1@11347.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Midfield, AL
- NPI 1033792502
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316201809
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316542624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1629228887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 ENSLEY 5 POINTS W AVE",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352082715",
"telephone_number": "659-903-4344",
"fax_number": "659-903-5944"
}
],
"practiceLocations": [
{
"address_1": "4614 Carnegie Ave",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "AL",
"postal_code": "350641430",
"country_code": "US",
"telephone_number": "205-785-1353",
"fax_number": "205-785-3731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "BENJAMIN",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-24",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "31030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629228887",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "511-16445",
"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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.