Individual provider Active NPI

Norman Ervin, M. D.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1821089012
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10392 Issued in AL
Practice address
101 Bob Wallace Ave SW
Suite B
Huntsville, AL 35801-3847
Phone
(256) 533-2303
Fax
(256) 533-4212
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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 10392 AL Primary

Addresses

Primary practice location

101 Bob Wallace Ave SW
Suite B
Huntsville, AL 35801-3847

Mailing address

101 Bob Wallace Ave SW
Suite B
Huntsville, AL 35801-3847
Phone (256) 533-2303

Other identifiers 1

IdentifierTypeStateIssuer
51097556OtherALBCBS

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
I20100511000062 AL Practitioner - Family Practice 6305974445

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1821089012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BOB WALLACE AVE SW",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013847",
            "telephone_number": "256-533-2303",
            "fax_number": "256-533-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BOB WALLACE AVE SW",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013847",
            "telephone_number": "256-533-2303",
            "fax_number": "256-533-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "NORMAN",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51097556",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.