Active NPI
David Roy Barthold, M.D.
- Family Medicine Physician
- Bessemer, AL
National Provider Identifier
1790708691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00006406
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51503755 | Other | AL | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041104000956 | AL | Practitioner - Internal Medicine | 9032172622 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00006406 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hueytown Medical Center, P.C. | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Vestavia, AL
- NPI 1639192537
AL, Family Medicine
-
- Skilled Nursing Facility
- Hueytown, AL
- NPI 1972058055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.