Ivester Alexander Pope, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AL14178 Issued in AL

Practice address

2358 US Highway 431
Boaz, AL 35957-5905

Phone

(256) 593-3133

Fax

(256) 593-6673

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southern Medical Group, Inc

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1194736009
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1679525844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015123",
            "telephone_number": "256-551-4689",
            "fax_number": "256-551-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575905",
            "telephone_number": "256-593-3133",
            "fax_number": "256-593-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "IVESTER",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "AL14178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89162",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda J Parrish, CERTIFIED REGISTERED
• Sydney C Patterson
• Morgan Kacee Pee, FNP
• George Philip, MD.
• Patrick Phillips, PHARMD
• Morgan Portwood
• Justin Robert Powell, CRNA
• Premier Orthopedic Surgery, Inc
• Ryleigh Breanna Prickett, AU.D.
• Kayla Pruitt, CRNP

• Family Medicine Physician in Boaz, AL
• Providers in Boaz, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.