NPIMap

Organization Active NPI

Premier Medical

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1851375885
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PREMIER MEDICAL
Practice address
50 Medical Park East Dr
Birmingham, AL 35235
Phone
(205) 545-9530
Fax
(205) 545-9530
NPI assigned
Dec 2, 2005
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mr. Randy Hammond
Title
Administrator
Phone
(205) 545-9530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

50 Medical Park East Dr
Birmingham, AL 35235

Mailing address

2016 Stonegate Trail
Suite 112
Vestavia Hills, AL 35244-2260
Phone (205) 545-9530

Other identifiers 5

IdentifierTypeStateIssuer
529905830MedicaidAL
C141OtherALBCBS
529910000MedicaidAL
CH5239OtherALRAILROAD MEDICARE
351890800OtherALDEPT OF LABOR

National Provider Directory

National Provider Directory

Locations

1600 Carraway Blvd
Birmingham, AL 35234
Phone (205) 502-6000

12585 Old Highway 280
Chelsea, AL 35043

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1262

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1851375885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 STONEGATE TRAIL",
            "address_2": "SUITE 112",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352442260",
            "telephone_number": "205-545-9530",
            "fax_number": "205-545-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK EAST DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-545-9530",
            "fax_number": "205-545-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-545-9530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529905830",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C141",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529910000",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH5239",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "351890800",
            "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 May 27, 2008; 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.