Individual provider Active NPI

Charlotte E Menzel, M.D.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1730288390
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28906 Issued in AL
Practice address
50 Medical Park Dr E
Eastern Hospital Medicine
Birmingham, AL 35235-3401
Phone
(205) 306-2296
Fax
(888) 324-2555
NPI assigned
Sep 21, 2006
Last updated
Sep 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28906 AL Primary

Addresses

Primary practice location

50 Medical Park Dr E
Eastern Hospital Medicine
Birmingham, AL 35235-3401

Mailing address

50 Medical Park Dr E
Eastern Hospital Medicine
Birmingham, AL 35235-3401
Phone (205) 306-2296

Other identifiers 1

IdentifierTypeStateIssuer
5630145000MedicaidWV

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
I20080918000650 AL Practitioner - Internal Medicine 2062589906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Hospital Medicine PCGroup PAC ID 8325044597, 26 clinicians

Practice addresses (Care Compare)

50 Medical Park E Dr
Birmingham, AL 35235-3401
Phone (205) 838-3000

53 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 836-4231

810 Saint Vincents Dr 6
Birmingham, AL 35205-1601
Phone (205) 939-7645

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28906ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Hospital Medicine PC CurrentSince Jul 15, 2010 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Jul 15, 2010 Accepting new patients
Salem Family Medicine Inc Family Medicine Past Accepting new patients
Premier Medical Group, Inc. Past Accepting new patients

Locations

2204 Lakeshore Dr
Ste 220
Birmingham, AL 35209
Phone (205) 874-1958

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1730288390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DR E",
            "address_2": "EASTERN HOSPITAL MEDICINE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-306-2296",
            "fax_number": "888-324-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DR E",
            "address_2": "EASTERN HOSPITAL MEDICINE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-306-2296",
            "fax_number": "888-324-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENZEL",
        "first_name": "CHARLOTTE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "28906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630145000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.