Active NPI
Eastern Nephrology
- Internal Medicine Physician
- Birmingham, AL
National Provider Identifier
1790174027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EASTERN NEPHROLOGY
- Practice address
- 48 Medical Park Dr E
Ste151
Birmingham, AL 35235-3400 - Phone
- (205) 699-1632
- Fax
- (866) 546-2124
- NPI assigned
- Jan 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacki Bailey, DOO
- Title
- Doo
- Phone
- (205) 699-1632
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
48 Medical Park Dr E
Ste151
Birmingham, AL 35235-3400
Mailing address
48 Medical Park Dr E
Ste151
Birmingham, AL 35235-3400
Phone (205) 699-1632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093896466 | Other | AL | NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Eastern Nephrology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1093896466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420761600000",
"number": "1790174027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR E",
"address_2": "STE151",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353400",
"telephone_number": "205-699-1632",
"fax_number": "866-546-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR E",
"address_2": "STE151",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353400",
"telephone_number": "205-699-1632",
"fax_number": "866-546-2124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN NEPHROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-09",
"last_updated": "2015-01-09",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "JACKI",
"authorized_official_title_or_position": "DOO",
"authorized_official_telephone_number": "205-699-1632",
"authorized_official_credential": "DOO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1093896466",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
- Natalie Ann Easterling
- Eastern Hospital Medicine PC
- Eastern Hospital Medicine PC
- Eastern Medical Eye Center P C
- Eastern Medical Specialists, P.C.
- Eastern Nephrology, PC
- Eastern Obstetrics and Gynecology, P.C.
- Eastern Pulmonary & Sleep, PC
- Eastern Surgical Associates, P.C.
- Eastern Urology Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.