Active NPI
David J Halvorson, M.D.
- Specialist
- Alabaster, AL
National Provider Identifier
1790880698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20146
- Practice address
- 1228 First Street North
Suite 301
Alabaster, AL 35007-8608 - Phone
- (205) 621-8900
- Fax
- (205) 621-7169
- NPI assigned
- Sep 14, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 20146 | AL | Primary |
Addresses
Primary practice location
1228 First Street North
Suite 301
Alabaster, AL 35007-8608
Mailing address
1228 First Street North
Alabaster, AL 35007-8608
Phone (205) 621-8900
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2512856002 | Other | AL | CIGNA |
| 51025753 | Other | AL | BCBS OF AL |
| 631215960 | Other | AL | VIVA |
| 51530334 | Other | AL | BCBS OF AL |
| F51696 | Other | AL | HEALTHSPRINGS OF ALABAMA |
| 1010027 | Other | AL | UNITED HEALTHCARE |
| 529902750 | Medicaid | AL | |
| 51008484 | Other | AL | BCBS OF AL |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20146 | AL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Ear Nose and Throat PC, Associates | Current | Accepting new patients |
Locations
1228 1st St N
Alabaster, AL 35007
Phone (205) 621-8900
1228 1st St N
Ste 301
Alabaster, AL 35007
Phone (205) 621-8900
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Alabaster, AL
- NPI 1770308983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1790880698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 FIRST STREET NORTH",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078608",
"telephone_number": "205-621-8900",
"fax_number": "205-621-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 FIRST STREET NORTH",
"address_2": "SUITE 301",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078608",
"telephone_number": "205-621-8900",
"fax_number": "205-621-7169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVORSON",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "20146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2512856002",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51025753",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "631215960",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51530334",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRINGS OF ALABAMA",
"identifier": "F51696",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1010027",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529902750",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51008484",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alabaster, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.