Individual provider Active NPI

Breezy Wilson, M.D.

  • Family Medicine Physician
  • Bessemer, AL
National Provider Identifier
1679785422
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.28404 Issued in AL
Practice address
1179 Greenmor Dr
Bessemer, AL 35022-6445
Phone
(205) 481-8530
Fax
(205) 481-6543
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.28404 AL Primary

Addresses

Primary practice location

1179 Greenmor Dr
Bessemer, AL 35022-6445

Mailing address

1179 Greenmor Dr
Bessemer, AL 35022-6445
Phone (205) 481-8530

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
I20080327000539 AL Practitioner - Family Practice 7214013440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1179 Greenmor Dr
Bessemer, AL 35022-6445
Phone (205) 481-8530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as apm
Quality
80.18
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.28404ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical West Hospital Authority, an Affiliate of Uab Health System CurrentSince Jul 1, 2012 Accepting new patients
Medical West Hospital Authority, an Affiliate of Uab Health System Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Baptist Health Centers, LLC Past Accepting new patients

Locations

1179 Greenmor Dr
Bessemer, AL 35022
Phone (205) 424-5359

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

Interoperability endpoints

  • Direct secure messaging: wilson.breezy@direct.uabmw.org

Organizations & group practices 3

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1679785422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 GREENMOR DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226445",
            "telephone_number": "205-481-8530",
            "fax_number": "205-481-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 GREENMOR DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226445",
            "telephone_number": "205-481-8530",
            "fax_number": "205-481-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BREEZY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.28404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.