Active NPI
Robert Leslie Miles, M.D.
- Specialist
- Birmingham, AL
National Provider Identifier
1700830007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 15253
- Practice address
- 52 Medical Park Dr E
Suite 307
Birmingham, AL 35235-3430 - Phone
- (205) 838-3047
- Fax
- (205) 838-3497
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15253 | AL | Primary |
Addresses
Primary practice location
52 Medical Park Dr E
Suite 307
Birmingham, AL 35235-3430
Mailing address
52 Medical Park Dr E
Suite 307
Birmingham, AL 35235-3430
Phone (205) 838-3047
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000060135 | Other | AL | MEDICAID GROUP NUMBER |
| 000082193 | Medicaid | AL | |
| 1982796603 | Other | AL | GROUP NPI |
| 1700830007 | Other | AL | MEDICARE INDIVUAL NPI |
| C135 | Other | AL | MEDICARE GROUP (OLD) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1700830007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 MEDICAL PARK DR E",
"address_2": "SUITE 307",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353430",
"telephone_number": "205-838-3047",
"fax_number": "205-838-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 MEDICAL PARK DR E",
"address_2": "SUITE 307",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353430",
"telephone_number": "205-838-3047",
"fax_number": "205-838-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "ROBERT",
"middle_name": "LESLIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "15253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NUMBER",
"identifier": "000060135",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000082193",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1982796603",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVUAL NPI",
"identifier": "1700830007",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP (OLD)",
"identifier": "C135",
"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 Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.