Active NPI
Marc David Feldman, MD
- Psychiatry Physician
- Vestavia, AL
National Provider Identifier
1780187039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15449
- Practice address
- 2609 Crowne Ridge CT
Vestavia, AL 35243-5351 - Phone
- (205) 637-7904
- NPI assigned
- Mar 13, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15449 | AL | Primary |
Addresses
Primary practice location
2609 Crowne Ridge CT
Vestavia, AL 35243-5351
Mailing address
2609 Crowne Ridge CT
Vestavia, AL 35243-5351
Phone (205) 637-7904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15449 | Other | AL | LICENSE NUMBER |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15449 | AL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1780187039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 CROWNE RIDGE CT",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352435351",
"telephone_number": "205-637-7904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 CROWNE RIDGE CT",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352435351",
"telephone_number": "205-637-7904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "MARC",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-13",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "15449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "15449",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.