Victoria Shamblin Anderson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

31308 Issued in AL

Practice address

101 Eagle Ridge Dr
Birmingham, AL 35242-5319

Phone

(205) 995-1004

Fax

(205) 991-6075

NPI assigned

May 11, 2010

Last updated

Jan 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Redmont Pediatric Associates, P.C.

  • Specialist
  • Birmingham, AL
  • NPI 1700081031
  NPD (past)

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1629396940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAGLE RIDGE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425319",
            "telephone_number": "205-995-1004",
            "fax_number": "205-991-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EAGLE RIDGE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425319",
            "telephone_number": "205-995-1004",
            "fax_number": "205-991-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VICTORIA",
        "middle_name": "SHAMBLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "31308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000159818",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "511-46489",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parker William Anderson, DNP, CRNA
• Sarah Alexis Anderson, DO
• Scott A Anderson, M.D.
• Sharon Anderson, DPT
• Shelley Anne Anderson, PT, DPT
• Virginia Anderson, RDN
• Martha D Anderton, CRNA
• Andrea B. Hudson, OD, LLC (Steel City Eye Care)
• Andrea R White MD
• Jennie Andresen, M.D.

• Pediatrics Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.