Active NPI
Robert Lewis Logan III, RPSGT, CCSH
- Other Specialist/Technologist
- Birmingham, AL
National Provider Identifier
1770190217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 23677
- Practice address
- 700 19TH Street South
Neurology Sleep Service Suite 127
Birmingham, AL 35233 - Phone
- (205) 933-8101
- Fax
- (205) 939-4574
- NPI assigned
- Sep 29, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 23677 | GA | Primary |
Addresses
Primary practice location
700 19TH Street South
Neurology Sleep Service Suite 127
Birmingham, AL 35233
Mailing address
700 19TH Street South
Neurology Sleep Service Suite 127
Birmingham, AL 35233
Phone (205) 933-8101
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23677 | GA | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1770190217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 19TH STREET SOUTH",
"address_2": "NEUROLOGY SLEEP SERVICE SUITE 127",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-933-8101",
"fax_number": "205-939-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 19TH STREET SOUTH",
"address_2": "NEUROLOGY SLEEP SERVICE SUITE 127",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-933-8101",
"fax_number": "205-939-4574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "ROBERT",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "RPSGT, CCSH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-29",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "GA",
"license": "23677",
"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 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.