Individual provider Active NPI

David Roy Barthold, M.D.

  • Family Medicine Physician
  • Bessemer, AL
National Provider Identifier
1790708691
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00006406 Issued in AL
Practice address
US Hwy 11 South
Uab Medical West
Bessemer, AL 35022
Phone
(205) 706-5010
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00006406 AL Primary

Addresses

Primary practice location

US Hwy 11 South
Uab Medical West
Bessemer, AL 35022

Mailing address

2257 Taylor Rd
Suite 200
Montgomery, AL 36117-7790
Phone (334) 270-9914

Other identifiers 1

IdentifierTypeStateIssuer
51503755OtherALBLUE CROSS / BLUE SHIELD

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
I20041104000956 AL Practitioner - Internal MedicinePractitioner - Family Practice 9032172622 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00006406ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hueytown Medical Center, P.C. Family Medicine CurrentSince Oct 24, 2000 Accepting new patients
Diversicare of Hueytown, LLC Past Accepting new patients

Locations

2257 Taylor Rd
Ste 200
Montgomery, AL 36117
Phone (334) 270-9914

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790708691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 TAYLOR RD",
            "address_2": "SUITE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177790",
            "telephone_number": "334-270-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 11 SOUTH",
            "address_2": "UAB MEDICAL WEST",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35022",
            "telephone_number": "205-706-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLD",
        "first_name": "DAVID",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00006406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "51503755",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.