Organization Active NPI

Alabama Med & Surgical Foot Center

  • Foot Surgery Podiatrist
  • Birmingham, AL
National Provider Identifier
1699904441
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
228 Issued in AL
Legal business name
ALABAMA MED & SURGICAL FOOT CENTER
Practice address
1960 Gadsden Highway
Suite 120
Birmingham, AL 35235
Phone
(205) 655-1114
Fax
(205) 661-3585
NPI assigned
Jul 14, 2009
Last updated
Sep 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Kevin L Waldrop, DPMNPI 1861438210
Title
Owner
Phone
(205) 655-1114

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 228 AL Primary

Addresses

Primary practice location

1960 Gadsden Highway
Suite 120
Birmingham, AL 35235

Mailing address

1960 Gadsden Highway
Suite 120
Birmingham, AL 35235
Phone (205) 655-1114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090908000134 AL Part B Supplier - Clinic/Group Practice 3476605213 Receives reassigned benefits from 1 practitioner
Practice locations: Trussville, AL

National Provider Directory

National Provider Directory

Locations

137 N Chalkville Rd
Trussville, AL 35173
Phone (205) 655-1114

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1699904441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 GADSDEN HIGHWAY",
            "address_2": "SUITE 120",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-655-1114",
            "fax_number": "205-661-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 GADSDEN HIGHWAY",
            "address_2": "SUITE 120",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-655-1114",
            "fax_number": "205-661-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA MED & SURGICAL FOOT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-655-1114",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "228",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2010; 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.