Individual provider Active NPI

Richard E Gilliland, M.D.

  • Otolaryngology Physician
  • Bessemer, AL
National Provider Identifier
1861500753
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
00012109 Issued in AL
Practice address
985 Ninth Avenue S.W.
Suite 308
Bessemer, AL 35022
Phone
(205) 481-7780
Fax
(205) 481-7740
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 00012109 AL Primary

Addresses

Primary practice location

985 Ninth Avenue S.W.
Suite 308
Bessemer, AL 35022

Mailing address

985 Ninth Avenue S.W.
Suite 308
Bessemer, AL 35022
Phone (205) 481-7780

Other identifiers 6

IdentifierTypeStateIssuer
040013385OtherALRAILROAD MEDICARE
51045124OtherALBLUE CROSS
C71208OtherALVIVA
1010135OtherALUNITED HEALTHCARE
C71208OtherALHEALTHSPRING OF ALABAMA
000045124MedicaidAL

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
I20090617000211 AL Practitioner - Otolaryngology 9830249614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Alabama School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Associates of Alabama PCGroup PAC ID 8921025354, 43 clinicians

Practice addresses (Care Compare)

5000 Medical W Way
Suite 406
Bessemer, AL 35022-7082
Phone (205) 481-8620

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00012109ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Associates of Alabama, P.C. Otolaryngology CurrentSince Jun 22, 2025 Accepting new patients

Locations

5000 Medical West Way
Ste 406
Bessemer, AL 35022
Phone (205) 481-8620

833 Saint Vincents Dr
Ste 402
Birmingham, AL 35205
Phone (205) 212-3540

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1861500753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 NINTH AVENUE S.W.",
            "address_2": "SUITE 308",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35022",
            "telephone_number": "205-481-7780",
            "fax_number": "205-481-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 NINTH AVENUE S.W.",
            "address_2": "SUITE 308",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35022",
            "telephone_number": "205-481-7780",
            "fax_number": "205-481-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "00012109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040013385",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51045124",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "C71208",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1010135",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING OF ALABAMA",
            "identifier": "C71208",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000045124",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.