Mary Fondren

Primary specialty

SpecialistTaxonomy code 174400000X

License

1176 Issued in AL

Practice address

3105 Independence Dr
Suite 105
Birmingham, AL 35209-4111

Phone

(205) 803-2210

NPI assigned

Oct 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alabama Neurology AssociatesGroup PAC ID 9739088626, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alabama Neurology Associates

  • Specialist
  • Birmingham, AL
  • NPI 1679642805
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1740730167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR",
            "address_2": "SUITE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-803-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR",
            "address_2": "SUITE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-803-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDREN",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "1176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie J Folse, MD
• Valentina Folse, PAC
• Kaley A Folsom, OD
• Tara Lynn Foltz, O.D.
• Katayoun Fomani, MD
• Jian Huai Fong, MD
• Annabelle Leah Fonseca, MD
• Fabiola M Fontanet Jaime
• Foot Specialists of Birmingham, PC
• Anne W Foote, NURSE PRACTITIONER

• Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.