Active NPI
River City Allergy & Medical PA
- Otolaryngology Physician
- Birmingham, AL
National Provider Identifier
1790987725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- RIVER CITY ALLERGY & MEDICAL PA
- Practice address
- 420 20TH St N Ste 2200
Birmingham, AL 35203-3261 - Phone
- (866) 949-0108
- NPI assigned
- Jun 1, 2007
- 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
- Dr. Andrew M. Brown, MD
- Title
- Owner
- Phone
- (256) 547-4971
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
420 20TH St N Ste 2200
Birmingham, AL 35203-3261
Mailing address
40 S Main St Ste 1300
Memphis, TN 38103-5513
Phone (866) 949-0108
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000740 | Other | AL | PTAN |
| 040015339 | Other | GA | RAILROAD RETIREMENT MEDIC |
| 051000740 | Other | AL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
515 S 3rd St
Gadsden, AL 35901
Phone (256) 413-6520
40 S Main St
Ste 1300
Memphis, TN 38103
Phone (256) 263-7354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630022400000",
"number": "1790987725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 S MAIN ST STE 1300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381035513",
"telephone_number": "866-949-0108",
"fax_number": "256-547-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 20TH ST N STE 2200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352033261",
"telephone_number": "866-949-0108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER CITY ALLERGY & MEDICAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-547-4971",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "000000740",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD RETIREMENT MEDIC",
"identifier": "040015339",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051000740",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.