Active NPI
Matthew J Kirkpatrick, ATC, MAE
- Athletic Trainer
- Birmingham, AL
National Provider Identifier
1871702886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 557
- Practice address
- 806 Saint Vincents Dr
WCC Ste. 620
Birmingham, AL 35205-1684 - Phone
- (205) 933-1557
- NPI assigned
- May 22, 2007
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 557 | AL | Primary |
Addresses
Primary practice location
806 Saint Vincents Dr
WCC Ste. 620
Birmingham, AL 35205-1684
Mailing address
6247 Russet Landing Cir
Birmingham, AL 35244-4633
Phone (205) 426-0982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 557 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871702886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6247 RUSSET LANDING CIR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352444633",
"telephone_number": "205-426-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 SAINT VINCENTS DR",
"address_2": "WCC STE. 620",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051684",
"telephone_number": "205-933-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "ATC, MAE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "557",
"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 Jul 8, 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.