NPIMap

Organization Active NPI

Birmingham Plastic Surgery Clinic, PA

  • Specialist
  • Birmingham, AL
National Provider Identifier
1851571996
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00009687 Issued in AL
Legal business name
BIRMINGHAM PLASTIC SURGERY CLINIC, PA
Practice address
1 Office Park Cir
Suite 200
Birmingham, AL 35223-2514
Phone
(205) 871-8307
Fax
(205) 871-8328
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Benjamin Hardy Johnson III, M.D.
Title
Owner
Phone
(205) 871-8307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00009687 AL Primary

Addresses

Primary practice location

1 Office Park Cir
Suite 200
Birmingham, AL 35223-2514

Mailing address

1 Office Park Cir
Suite 200
Birmingham, AL 35223-2514
Phone (205) 871-8307

National Provider Directory

National Provider Directory

Locations

1 Office Park Cir
Ste 200
Mountain Brk, AL 35223
Phone (205) 871-8307

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1851571996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OFFICE PARK CIR",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232514",
            "telephone_number": "205-871-8307",
            "fax_number": "205-871-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OFFICE PARK CIR",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232514",
            "telephone_number": "205-871-8307",
            "fax_number": "205-871-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM PLASTIC SURGERY CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "HARDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-871-8307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "00009687",
            "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 Nov 6, 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.

Verify at the official NPI Registry.