Active NPI
Joan Black Cain, MD
- Internal Medicine Physician
- Birmingham, AL
National Provider Identifier
1639430770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10162
- Practice address
- 2936 Redmont Park LN
Birmingham, AL 35205-2136 - Phone
- (205) 322-3696
- Fax
- (205) 716-1215
- NPI assigned
- Jun 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10162 | AL | Primary |
Addresses
Primary practice location
2936 Redmont Park LN
Birmingham, AL 35205-2136
Mailing address
2936 Redmont Park LN
Birmingham, AL 35205-2136
Phone (205) 322-3696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10162 | AL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1639430770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2936 REDMONT PARK LN",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052136",
"telephone_number": "205-322-3696",
"fax_number": "205-716-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2936 REDMONT PARK LN",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052136",
"telephone_number": "205-322-3696",
"fax_number": "205-716-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "JOAN",
"middle_name": "BLACK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "10162",
"primary": true
}
],
"identifiers": [],
"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 Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.