Active NPI
Johnny Tran
- Family Medicine Physician
- Mobile, AL
National Provider Identifier
1871344671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L.6333R
- Practice address
- 2451 University Hospital Dr RM 714
Mobile, AL 36617-2300 - Phone
- (251) 434-3475
- NPI assigned
- Mar 29, 2024
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L.6333R | AL | Primary |
Addresses
Primary practice location
2451 University Hospital Dr RM 714
Mobile, AL 36617-2300
Mailing address
2451 University Hospital Dr RM 714
Mobile, AL 36617-2300
Phone (251) 434-3475
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241104002365 | AL | Order and Referring Only - Family Practice | 3870026404 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.6333R | AL | MD | Family Medicine Physician |
Interoperability endpoints
- johnny.tran.1@27270.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1871344671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 UNIVERSITY HOSPITAL DR RM 714",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172300",
"telephone_number": "251-434-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 UNIVERSITY HOSPITAL DR RM 714",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172300",
"telephone_number": "251-434-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "JOHNNY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-29",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "L.6333R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.