NPIMap

Organization Active NPI

Alabama Neurology Associates

  • Specialist
  • Birmingham, AL
National Provider Identifier
1679642805
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12140 Issued in AL
Legal business name
ALABAMA NEUROLOGY ASSOCIATES
Practice address
3105 Independence Dr Ste 105
Birmingham, AL 35209-4111
Phone
(205) 803-2210
Fax
(205) 803-2214
NPI assigned
Nov 6, 2006
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
John Byron Riser, MDNPI 1134216088
Title
President
Phone
(205) 803-2210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12140 AL Primary
Neurology Physician 2084N0400X NU

Addresses

Primary practice location

3105 Independence Dr Ste 105
Birmingham, AL 35209-4111

Mailing address

3105 Independence Dr Ste 105
Birmingham, AL 35209-4111
Phone (205) 580-2210

Other identifiers 2

IdentifierTypeStateIssuer
051505043MedicaidAL
529912740MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000925 AL Part B Supplier - Clinic/Group Practice 9739088626 Receives reassigned benefits from 14 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

2700 Rogers Dr
Ste 201
Birmingham, AL 35209
Phone (205) 414-6097

509 Brookwood Blvd
#101
Birmingham, AL 35209
Phone (205) 803-2210

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1679642805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR STE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-580-2210",
            "fax_number": "205-803-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR STE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-803-2210",
            "fax_number": "205-803-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA NEUROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "RISER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-803-2210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "12140",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051505043",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529912740",
            "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 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.