Individual provider Active NPI

Brock Richardson, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1770161549
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.46610 Issued in AL
Practice address
817 Princeton Ave SW Ste 210
Birmingham, AL 35211-1348
Phone
(205) 783-3505
Fax
(205) 783-3508
NPI assigned
Mar 31, 2021
Last updated
Nov 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.46610 AL Primary

Addresses

Primary practice location

817 Princeton Ave SW Ste 210
Birmingham, AL 35211-1348

Mailing address

PO Box 11407, Department 8007
Birmingham, AL 35246-8007
Phone (205) 783-3505

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-1292

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130001296 AL Practitioner - Hospitalist 4981002615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Mississippi School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Mountain Group Services, LLCGroup PAC ID 3678886256, 62 clinicians
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

817 Princeton Ave SW
Birmingham, AL 35211-1333
Phone (205) 783-3505

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Jun 23, 2025 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Centers LLC CurrentSince Jun 23, 2025 Accepting new patients
BBH PBMC, LLC Past Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

817 Princeton Ave SW
Ste 210
Birmingham, AL 35211
Phone (205) 226-5911

833 Princeton Ave SW
Ste 200E
Birmingham, AL 35211
Phone (205) 599-4823

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • Direct secure messaging: brichardson79084@baptisthealthaldirect.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1770161549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407, DEPARTMENT 8007",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468007",
            "telephone_number": "205-783-3505",
            "fax_number": "205-783-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW STE 210",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111348",
            "telephone_number": "205-783-3505",
            "fax_number": "205-783-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-815-1292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BROCK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.46610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.