Individual provider Active NPI

Denise Renee Barefield Pendleton, MD

  • Ophthalmology Physician
  • Homewood, AL
National Provider Identifier
1811972813
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4482 Issued in AL
Practice address
One Indeependence Plaza, Ste 810
Brookwood Ophthalmology Inc
Homewood, AL 35209
Phone
(205) 877-2921
Fax
(205) 877-8494
NPI assigned
Dec 13, 2005
Last updated
Dec 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4482 AL Primary
Ophthalmology Physician 207W00000X 019873 GA

Addresses

Primary practice location

One Indeependence Plaza, Ste 810
Brookwood Ophthalmology Inc
Homewood, AL 35209

Mailing address

1032 2ND St W
Birmingham, AL 35204
Phone (205) 873-0840

Other identifiers 1

IdentifierTypeStateIssuer
051550639MedicaidAL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4482ALMDOphthalmology Physician
019873GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schaeffer Eye Center Inc Past Accepting new patients
Schaeffer Eye Center, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1811972813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 2ND ST W",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35204",
            "telephone_number": "205-873-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE INDEEPENDENCE PLAZA, STE 810",
            "address_2": "BROOKWOOD OPHTHALMOLOGY INC",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-877-2921",
            "fax_number": "205-877-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAREFIELD PENDLETON",
        "first_name": "DENISE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "4482",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "019873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550639",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.