NPIMap

Organization Active NPI

Uab Hospital

  • General Acute Care Hospital
  • Birmingham, AL
National Provider Identifier
1740652346
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1-124189 Issued in AL
Legal business name
UAB HOSPITAL
Practice address
619 19TH St. South
Birmingham, AL 35294
Phone
(205) 975-0512
Fax
(205) 975-6404
NPI assigned
Oct 22, 2015
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Mr. Johnathan Tidwell, CRNPNPI 1063870608
Title
Nurse Practitioner
Phone
(205) 975-0512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1-124189 AL Primary

Addresses

Primary practice location

619 19TH St. South
Birmingham, AL 35294

Mailing address

619 19TH St. South
Birmingham, AL 35294
Phone (205) 975-0512

National Provider Directory

National Provider Directory
Tax ID family
Robert T Brown MD48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

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": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1740652346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST. SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35294",
            "telephone_number": "205-975-0512",
            "fax_number": "205-975-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST. SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35294",
            "telephone_number": "205-975-0512",
            "fax_number": "205-975-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UAB HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "205-975-0512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "1-124189",
            "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 Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.