Individual provider Active NPI

John Stewart Herndon, MD

  • Gastroenterology Physician
  • Birmingham, AL
National Provider Identifier
1770080400
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD.38885 Issued in AL
Practice address
1 Independence Plaza
Suite 900
Birmingham, AL 35209-2643
Phone
(205) 271-8000
Fax
(205) 271-8050
NPI assigned
Apr 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD.38885 AL Primary

Addresses

Primary practice location

1 Independence Plaza
Suite 900
Birmingham, AL 35209-2643

Mailing address

1 Independence Plaza
Suite 900
Birmingham, AL 35209-2643
Phone (205) 271-8000

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
I20240510001797 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 1355691916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Independence PLZ
Suite 900
Birmingham, AL 35209-2643
Phone (205) 271-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.94 of 100Reported as group
Quality
56.16
Promoting interoperability
86
Improvement activities
40
Cost
78.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy150
Upper gastrointestinal (GI) endoscopy for acid reflux138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Gastroenterology Associates PC Gastroenterology CurrentSince May 1, 2024 Accepting new patients
Birmingham Gastroenterology Associates PC CurrentSince May 1, 2024 Accepting new patients

Locations

2010 Brookwood Medical Ctr Dr
Ste 400
Birmingham, AL 35209

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953

1 Independence Plz
Homewood, AL 35209
Phone (205) 255-3828

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

Organizations & group practices 2

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 5

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1770080400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLAZA",
            "address_2": "SUITE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092643",
            "telephone_number": "205-271-8000",
            "fax_number": "205-271-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLAZA",
            "address_2": "SUITE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092643",
            "telephone_number": "205-271-8000",
            "fax_number": "205-271-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "JOHN",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "MD.38885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.