Individual provider Active NPI

George Robert Booker, MD

  • Orthopaedic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1760692834
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD30229 Issued in AL
Practice address
4517 Southlake Pkwy
Birmingham, AL 35244-3280
Phone
(205) 985-4111
Fax
(205) 985-4326
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD30229 AL Primary

Addresses

Primary practice location

4517 Southlake Pkwy
Birmingham, AL 35244-3280

Mailing address

4517 Southlake Pkwy
Birmingham, AL 35244-3280
Phone (205) 985-4111

Other identifiers 1

IdentifierTypeStateIssuer
119210MedicaidAL

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
I20100708000535 AL Practitioner - Orthopedic Surgery 0941331904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone (205) 985-4111

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement38
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30229ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Orthopaedics Sports Medicine and Spine Center, PC CurrentSince Jul 1, 2010 Accepting new patients
Southern Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Jun 1, 2023 Accepting new patients
Southern Orthopaedic Alliance, PLLC Orthopaedic Surgery CurrentSince Jun 1, 2023 Accepting new patients
Southlake Orthopaedics Sports Medicine & Spine Center PC Orthopaedic Surgery CurrentSince Jul 1, 2010 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 430
Birmingham, AL 35243
Phone (205) 605-8180

4517 Southlake Pkwy
Hoover, AL 35244
Phone (205) 329-7585

4517 Southlake Pkwy
Ste 202
Hoover, AL 35244
Phone (205) 985-4111

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1760692834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "GEORGE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD30229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119210",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.