Active NPI
Julia Randolph Berger
- Registered Dietitian
- Birmingham, AL
National Provider Identifier
1770058968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1108247
- Practice address
- 1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948 - Phone
- (205) 783-8600
- NPI assigned
- Oct 4, 2018
- Last updated
- Oct 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1108247 | Primary |
Addresses
Primary practice location
1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948
Mailing address
405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992
Other practice location 1
1088 9th Ave SW
Bessemer, AL 35022-7833
Phone (205) 277-2358
Other practice location 2
1925 Avenue E Ensley
Ensley, AL 35218
Phone (205) 788-5164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2714 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cahaba Medical Care Foundation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316201809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1770058968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BELCHER ST",
"city": "CENTREVILLE",
"state": "AL",
"postal_code": "350422946",
"telephone_number": "205-926-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 TUSCALOOSA AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111948",
"telephone_number": "205-783-8600"
}
],
"practiceLocations": [
{
"address_1": "1088 9th Ave SW",
"address_purpose": "LOCATION",
"city": "Bessemer",
"state": "AL",
"postal_code": "350227833",
"country_code": "US",
"telephone_number": "205-277-2358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1925 Avenue E Ensley",
"address_purpose": "LOCATION",
"city": "Ensley",
"state": "AL",
"postal_code": "35218",
"country_code": "US",
"telephone_number": "205-788-5164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGER",
"first_name": "JULIA",
"middle_name": "RANDOLPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1108247",
"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 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.