Individual provider Active NPI

Eric G Becker, DO

  • Adult Medicine Physician
  • Mobile, AL
National Provider Identifier
1720182447
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
420 Issued in AL
Practice address
3715 Dauphin St Ste 7a
Mobile, AL 36608-1775
Phone
(251) 410-4001
Fax
(251) 410-4002
NPI assigned
Sep 12, 2006
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 420 AL Primary

Addresses

Primary practice location

3715 Dauphin St Ste 7a
Mobile, AL 36608-1775

Mailing address

3715 Dauphin St
Ste 7a
Mobile, AL 36608-1775
Phone (251) 410-4001

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
I20100518000504 AL Practitioner - Family Practice 3779612478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan College of Medicine and Surgery, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3715 Dauphin St
Suite 7a
Mobile, AL 36608-1775
Phone (251) 410-4001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
420ALMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Springhill Physician Practices, Inc CurrentSince Aug 20, 2010 Accepting new patients
Springhill Physician Practices, Inc Current Accepting new patients
Springhill Physician Practices, Inc. Past Accepting new patients
Pain Diagnosis and Treatment, Inc. Past Accepting new patients

Locations

1000A Cody Rd S
Mobile, AL 36695
Phone (251) 340-7942

3632 Dauphin St
Ste 101B
Mobile, AL 36608
Phone (251) 460-5280

3715 Dauphin St
Ste 7A
Mobile, AL 36608
Phone (251) 410-4001

Interoperability endpoints

  • Direct secure messaging: ebecker@springhillphy.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73098

Organizations & group practices 4

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 3

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1720182447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "STE 7A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081775",
            "telephone_number": "251-410-4001",
            "fax_number": "251-410-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST STE 7A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081775",
            "telephone_number": "251-410-4001",
            "fax_number": "251-410-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ERIC",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AL",
            "license": "420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.