Individual provider Active NPI

Joshua D. Ivker, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1639118409
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24435 Issued in AL
Practice address
513 Brookwood Blvd
Suite 50
Birmingham, AL 35209-6862
Phone
(205) 877-2761
Fax
(205) 877-2399
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24435 AL
Internal Medicine Physician 207R00000X 24435 AL Primary

Addresses

Primary practice location

513 Brookwood Blvd
Suite 50
Birmingham, AL 35209-6862

Mailing address

513 Brookwood Blvd
Suite 50
Birmingham, AL 35209-6862
Phone (205) 877-2761

Other identifiers 2

IdentifierTypeStateIssuer
H78599OtherALVIVA
P00436878OtherALMEDICARE RAILROAD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060915000027 AL Practitioner - Internal Medicine 9537163027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookwood Internists PCGroup PAC ID 6406875418, 13 clinicians

Practice addresses (Care Compare)

513 Brookwood Blvd
Suite 50
Birmingham, AL 35209-7802
Phone 2058772761170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24435ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookwood Internists PC Internal Medicine CurrentSince Jul 16, 2007 Accepting new patients
Baptist Health System, Inc. Internal Medicine PastSince Apr 1, 1996 Accepting new patients

Locations

513 Brookwood Blvd
Ste 50
Homewood, AL 35209
Phone (205) 877-2761

Interoperability endpoints

  • Direct secure messaging: joshua.ivker@brookwoodinternists.directbygreenway.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1639118409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "SUITE 50",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-877-2761",
            "fax_number": "205-877-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "SUITE 50",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-877-2761",
            "fax_number": "205-877-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVKER",
        "first_name": "JOSHUA",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "24435",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "24435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "H78599",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00436878",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.