Organization Active NPI

Chelsea Pediatrics, Inc.

  • Pediatrics Physician
  • Birmingham, AL
National Provider Identifier
1669643789
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25409 Issued in AL
Legal business name
CHELSEA PEDIATRICS, INC.
Practice address
194 Narrows Dr
Suite 104
Birmingham, AL 35242-8667
Phone
(205) 981-2728
Fax
(205) 981-2729
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Alice M Hardy, M.D.
Title
Owner
Phone
(205) 981-2728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25409 AL Primary

Addresses

Primary practice location

194 Narrows Dr
Suite 104
Birmingham, AL 35242-8667

Mailing address

194 Narrows Dr
Suite 104
Birmingham, AL 35242-8667
Phone (205) 981-2728

Other identifiers 2

IdentifierTypeStateIssuer
51519854OtherALBCBS
529918920MedicaidAL

National Provider Directory

National Provider Directory

Locations

194 Narrows Dr
Ste 104
Birmingham, AL 35242
Phone (205) 981-2728

194 Narrows Dr
Ste 4
Birmingham, AL 35242

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1669643789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 NARROWS DR",
            "address_2": "SUITE 104",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428667",
            "telephone_number": "205-981-2728",
            "fax_number": "205-981-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 NARROWS DR",
            "address_2": "SUITE 104",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428667",
            "telephone_number": "205-981-2728",
            "fax_number": "205-981-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-981-2728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "25409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51519854",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529918920",
            "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 Mar 17, 2008; 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.