Individual provider Active NPI

Gregory W Umphrey, M.D.

  • Anesthesiology Physician
  • Birmingham, AL
National Provider Identifier
1780659615
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
28018 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249-4527
Phone
(205) 934-4011
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01056321A IN
Anesthesiology Physician 207L00000X MD0000042126 TN
Anesthesiology Physician 207L00000X MD28018 AL
Anesthesiology Physician 207L00000X 28018 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-4527

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Other identifiers 2

IdentifierTypeStateIssuer
009943149MedicaidAL
009998879MedicaidAL

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
I20070813000352 AL Practitioner - Anesthesiology 5799876249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas Tech University Health Science Center School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Perioperative Services P CGroup PAC ID 9234041815, 28 clinicians

Practice addresses (Care Compare)

150 Gilbreath Dr
Oneonta, AL 35121-2827
Phone (205) 338-2939

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone (205) 481-8543

619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460

7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone (205) 338-2939

975 9TH Ave SW
Bessemer, AL 35022-4527
Phone (205) 481-7000

Hospital & facility affiliations

  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033
  • St Vincent'S Chilton Hospital, Clanton, AL, CCN 010173
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056
  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130
  • St Vincents Blount Hospital, Oneonta, AL, CCN 011305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28018ALMDAnesthesiology Physician
MD28018ALMDAnesthesiology Physician
01056321AINMDAnesthesiology Physician
MD0000042126TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 1, 2016 Accepting new patients
Southern Perioperative Services P C Anesthesiology CurrentSince Nov 28, 2016 Accepting new patients
Med-West Anesthesia PC Anesthesiology Past Accepting new patients

Locations

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

975 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-8700

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1600 Carraway Blvd
Birmingham, AL 35234
Phone (205) 502-6000

Interoperability endpoints

  • Direct secure messaging: gumphrey@direct.uabmedicine.org

Organizations & group practices 3

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 7

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1780659615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352494527",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMPHREY",
        "first_name": "GREGORY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01056321A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "MD0000042126",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "MD28018",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "28018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009943149",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009998879",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.