Active NPI
Mamie Robinson McLean
- Reproductive Endocrinology Physician
- Birmingham, AL
National Provider Identifier
1669677761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 30978
- Practice address
- 2000 6TH Ave S
Birmingham, AL 35233-2110 - Phone
- (205) 801-8000
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 140989 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 30978 | AL | |
| Reproductive Endocrinology Physician | 207VE0102X | 30978 | AL | Primary |
Addresses
Primary practice location
2000 6TH Ave S
Birmingham, AL 35233-2110
Mailing address
2700 Hwy 280
Suite 370
Birmingham, AL 35223
Phone (205) 874-0000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051117948 | Other | AL | BCBS |
| 06400328 | Medicaid | MS | |
| 051117949 | Other | AL | BCBS |
| 129419 | Medicaid | AL | |
| 129425 | Medicaid | AL | |
| 129422 | Medicaid | AL | |
| 129423 | Medicaid | AL | |
| 051117950 | Other | AL | BCBS |
| 051117947 | Other | AL | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140989 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afs, PC | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Reproductive Endocrinology Physician
- Birmingham, AL
- NPI 1184792756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1669677761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 HWY 280",
"address_2": "SUITE 370",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35223",
"telephone_number": "205-874-0000",
"fax_number": "205-874-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332110",
"telephone_number": "205-801-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "MAMIE",
"middle_name": "ROBINSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "140989",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "30978",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "AL",
"license": "30978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117948",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06400328",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117949",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129419",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129425",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129422",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129423",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117950",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117947",
"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 Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.