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Organization Active NPI

Vincentian Physician Services LLC

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1851698310
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VINCENTIAN PHYSICIAN SERVICES LLC
Practice address
810 Saint Vincent's Drive
3Rd Floor; Physician Development Dept
Birmingham, AL 35205-1601
Phone
(205) 930-2346
Fax
(205) 930-2158
NPI assigned
Feb 18, 2011
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
VINCENTIAN VENTURESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Kyle Hupach
Title
VP Revenue Cycle
Phone
(205) 731-9287

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Gastroenterology Physician 207RG0100X NU
Neurology Physician 2084N0400X NU

Addresses

Primary practice location

810 Saint Vincent's Drive
3Rd Floor; Physician Development Dept
Birmingham, AL 35205-1601

Mailing address

PO Box 55309
Birmingham, AL 35255-5309
Phone (205) 939-2900

Other practice location 1

101 Missionary Rdg
Birmingham, AL 35242-5202
Phone (205) 995-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110608000452 AL Part B Supplier - Clinic/Group Practice 1557548161 Receives reassigned benefits from 269 practitioners
Practice locations: Clanton, AL; Fultondale, AL; Gardendale, AL; Hoover, AL; Locust Fork, AL; Oneonta, AL; Pelham, AL; Pell City, AL…

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

101 Missionary Rdg
Birmingham, AL 35242
Phone (205) 995-2520

48 Medical Park Dr E
Ste 159
Birmingham, AL 35235
Phone (205) 838-3349

50 Medical Park Dr E
Ste 158
Birmingham, AL 35235
Phone (205) 838-3156

810 Saint Vincents Dr
Fl 3
Birmingham, AL 35205
Phone (205) 930-2346

2030 Lay Dam Rd
#B
Clanton, AL 35045
Phone (205) 939-7100

339 Walker Chapel Plz
Bldg 1A
Fultondale, AL 35068
Phone (205) 939-7100

7191 Cahaba Valley Rd
Ste 108
Hoover, AL 35242
Phone (205) 408-2365

2050 Village Dr
Ste A
Leeds, AL 35094
Phone (205) 640-1793

29829 State Highway 79
Locust Fork, AL 35097
Phone (205) 681-8115

2811 Dr John Haynes Dr
Ste 200
Pell City, AL 35125
Phone (205) 884-2229

7067 Veterans Pkwy
Ste 200
Pell City, AL 35125
Phone (205) 478-1200

Practitioners & affiliated clinicians

Practitioners 280

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 280

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1851698310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555309",
            "telephone_number": "205-939-2900",
            "fax_number": "877-575-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENT'S DRIVE",
            "address_2": "3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-930-2346",
            "fax_number": "205-930-2158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Missionary Rdg",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352425202",
            "country_code": "US",
            "telephone_number": "205-995-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VINCENTIAN PHYSICIAN SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VINCENTIAN VENTURES",
        "enumeration_date": "2011-02-18",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "HUPACH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "205-731-9287"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.