Active NPI
Bradley Perry Vickers, DMD
- Prosthodontics
- Birmingham, AL
National Provider Identifier
1851301733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- AL5266
- Practice address
- 700 South 19TH St
VA Medical Center, Dental Service 160
Birmingham, AL 35233 - Phone
- (205) 933-8101
- Fax
- (205) 558-4779
- NPI assigned
- Aug 9, 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | AL5266 | AL | Primary |
Addresses
Primary practice location
700 South 19TH St
VA Medical Center, Dental Service 160
Birmingham, AL 35233
Mailing address
700 South 19TH Street
VA Medical Center, Dental Service 160
Birmingham, AL 35233
Phone (205) 933-8101
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL5266 | AL | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851301733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SOUTH 19TH STREET",
"address_2": "VA MEDICAL CENTER, DENTAL SERVICE 160",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-933-8101",
"fax_number": "205-558-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SOUTH 19TH ST",
"address_2": "VA MEDICAL CENTER, DENTAL SERVICE 160",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-933-8101",
"fax_number": "205-558-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "BRADLEY",
"middle_name": "PERRY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AL",
"license": "AL5266",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.