Individual provider Active NPI

Donald Blake Perry, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Birmingham, AL
National Provider Identifier
1669768537
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD.33426 Issued in AL
Practice address
4600 Highway 280
Birmingham, AL 35242-5028
Phone
(205) 408-1231
Fax
(205) 408-1229
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X MD.33426 AL Primary

Addresses

Primary practice location

4600 Highway 280
Birmingham, AL 35242-5028

Mailing address

4600 Highway 280
Birmingham, AL 35242-5028
Phone (205) 408-1231

Other identifiers 2

IdentifierTypeStateIssuer
102I081437OtherMEDICARE
51167163OtherALBCBS

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
I20140915001726 AL Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Sports Medicine 5496974941 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosports1St PCGroup PAC ID 8729402037, 16 clinicians

Practice addresses (Care Compare)

1031 Brocks Gap Pkwy
Suite 185
Hoover, AL 35244-4078
Phone (205) 352-2911

Hospital & facility affiliations

  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosports1St PC CurrentSince Jul 9, 2023 Accepting new patients
Orthosports1St PC CurrentSince Jul 9, 2023 Accepting new patients

Locations

1031 Brocks Gap Pkwy
Ste 185
Hoover, AL 35244
Phone (205) 352-2911

Interoperability endpoints

  • Direct secure messaging: donald.perry.1@17217.direct.athenahealth.com

Organizations & group practices 4

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1669768537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 HIGHWAY 280",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425028",
            "telephone_number": "205-408-1231",
            "fax_number": "205-408-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HIGHWAY 280",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425028",
            "telephone_number": "205-408-1231",
            "fax_number": "205-408-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DONALD",
        "middle_name": "BLAKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "MD.33426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "102I081437",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51167163",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.