Individual provider Active NPI

Alfred W.H. Stanley Jr., M.D.

  • Cardiovascular Disease Physician
  • Birmingham, AL
National Provider Identifier
1821093790
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5603 Issued in AL
Practice address
2022 Brookwood Medical Ctr Dr
Acc - Suite 415
Birmingham, AL 35209-6808
Phone
(205) 250-6964
Fax
(205) 250-8916
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5603 AL Primary

Addresses

Primary practice location

2022 Brookwood Medical Ctr Dr
Acc - Suite 415
Birmingham, AL 35209-6808

Mailing address

2022 Brookwood Medical Ctr Dr
Acc - Suite 415
Birmingham, AL 35209-6808
Phone (205) 250-6964

Other identifiers 11

IdentifierTypeStateIssuer
132830MedicaidAL
051120884OtherALBCBS
051120885OtherALBCBS
051120887OtherALBCBS
132828MedicaidAL
051511938MedicaidAL
132827MedicaidAL
051120886OtherALBCBS
132829MedicaidAL
04151851MedicaidMS
C78714OtherALVIVA

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
I20040927000724 AL Practitioner - Cardiovascular Disease (Cardiology) 6709787542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5603ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 26, 2011 Accepting new patients

Locations

1528 Carraway Blvd
Birmingham, AL 35234
Phone (205) 250-6035

2022 Brookwood Medical Ctr Dr
Ste 415
Birmingham, AL 35209
Phone (205) 250-6964

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1821093790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "ACC - SUITE 415",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-250-6964",
            "fax_number": "205-250-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "ACC - SUITE 415",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-250-6964",
            "fax_number": "205-250-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "ALFRED",
        "middle_name": "W.H.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "5603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132830",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051120884",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051120885",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051120887",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132828",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051511938",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132827",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051120886",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132829",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04151851",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "C78714",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.