Active NPI
Richard E Gilliland, M.D.
- Otolaryngology Physician
- Bessemer, AL
National Provider Identifier
1861500753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 00012109
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040013385 | Other | AL | RAILROAD MEDICARE |
| 51045124 | Other | AL | BLUE CROSS |
| C71208 | Other | AL | VIVA |
| 1010135 | Other | AL | UNITED HEALTHCARE |
| C71208 | Other | AL | HEALTHSPRING OF ALABAMA |
| 000045124 | Medicaid | AL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00012109 | AL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Associates of Alabama, P.C. | Otolaryngology | Current | 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.
-
- Otolaryngology Physician
- Birmingham, AL
- NPI 1841301082
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.