Individual provider Active NPI

Weston Bain Gentry, MD

  • Orthopaedic Surgery Physician
  • Vestavia Hills, AL
National Provider Identifier
1689179681
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
48702 Issued in AL
Practice address
2020 Canyon Rd Ste 200
Vestavia Hills, AL 35216-1959
Phone
(615) 417-9619
Fax
(205) 877-8377
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 48702 AL Primary

Addresses

Primary practice location

2020 Canyon Rd Ste 200
Vestavia Hills, AL 35216-1959

Mailing address

2020 Canyon Rd Ste 200
Vestavia Hills, AL 35216-1959
Phone (615) 417-9619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230622003192 MS Practitioner - Orthopedic Surgery 8325396823 Reassigns benefits to 1 organization
I20240722003246 AL Practitioner - Orthopedic Surgery 8325396823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Meharry Medical College School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians
Powell Orthopedics and Sports Medicine, P.C.Group PAC ID 8022207307, 4 clinicians

Practice addresses (Care Compare)

1021 Montgomery Hwy
Vestavia Hills, AL 35216-2805
Phone (205) 882-6990

2020 Canyon Rd
Suite 200
Vestavia Hills, AL 35216-1959
Phone (205) 877-9191

Hospital & facility affiliations

  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48702ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Orthopedics & Sports Medicine, P.C. Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients
Mississippi Sports Medicine & Orthopaedic Center Orthopaedic Surgery CurrentSince Jul 26, 2023 Accepting new patients

Locations

513 Brookwood Blvd
Ste 400
Birmingham, AL 35209
Phone (205) 802-6722

2020 Canyon Rd
Ste 200
Vestavia Hills, AL 35216
Phone (205) 354-2442

1325 E Fortification St
Jackson, MS 39202
Phone (601) 354-4488

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHBJBA

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1689179681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CANYON RD STE 200",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161959",
            "telephone_number": "615-417-9619",
            "fax_number": "205-877-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CANYON RD STE 200",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161959",
            "telephone_number": "615-417-9619",
            "fax_number": "205-877-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "WESTON",
        "middle_name": "BAIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "48702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.