Individual provider Active NPI

Matthew Stewart McLean, M.D.

  • Neurology Physician
  • Mobile, AL
National Provider Identifier
1699086199
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD.31235 Issued in AL
Practice address
1720 Spring Hill Ave
3Rd Floor
Mobile, AL 36604-1410
Phone
(251) 435-1200
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD.31235 AL Primary

Addresses

Primary practice location

1720 Spring Hill Ave
3Rd Floor
Mobile, AL 36604-1410

Mailing address

1720 Spring Hill Ave
3Rd Floor
Mobile, AL 36604-1410
Phone (251) 435-1200

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
I20140612002319 AL Practitioner - Neurology 2961642566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of South Alabama College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1416

1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200

5 Mobile Infirmary Cir
Suite G805
Mobile, AL 36607-3513
Phone (251) 435-6590

831 C Hillcrest Rd
Mobile, AL 36695-3909
Phone (251) 666-4949

95 Shell Rd
Saraland, AL 36571-2202
Phone (251) 675-4733

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.31235ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Mar 17, 2014 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC Neurology CurrentSince Mar 17, 2014 Accepting new patients

Locations

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

1720 Spring Hill Ave
Ste 300
Mobile, AL 36604

1720 Spring Hill Ave
Mobile, AL 36604
Phone (251) 391-3276

1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone 2517763569000

Interoperability endpoints

  • Direct secure messaging: mmclean14334@directinfirmaryhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1699086199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE",
            "address_2": "3RD FLOOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410",
            "telephone_number": "251-435-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE",
            "address_2": "3RD FLOOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410",
            "telephone_number": "251-435-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "MATTHEW",
        "middle_name": "STEWART",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "MD.31235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.