Individual provider Active NPI

Michael Dennis Putman II, MD

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1871848929
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3313.R Issued in AL
Practice address
805 Saint Vincents Dr
Suite 510
Birmingham, AL 35205-1636
Phone
(205) 595-5504
Fax
(205) 592-3427
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L3313.R AL Primary

Addresses

Primary practice location

805 Saint Vincents Dr
Suite 510
Birmingham, AL 35205-1636

Mailing address

805 Saint Vincents Dr
Suite 510
Birmingham, AL 35205-1636
Phone (205) 595-5504

Other identifiers 1

IdentifierTypeStateIssuer
1871848929OtherALNPI

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
I20130213000426 AL Practitioner - Family Practice 3678724242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seale Harris Clinic P CGroup PAC ID 8325032451, 11 clinicians

Practice addresses (Care Compare)

805 Saint Vincents Dr
Suite 510
Birmingham, AL 35205-1641
Phone (205) 769-3738

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Birmingham, AL, CCN 017149
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3313.RALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seale Harris Clinic P C CurrentSince Jan 2, 2017 Accepting new patients
American Family Care, LLC CurrentSince Dec 28, 2012 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Dec 28, 2012 Accepting new patients
Seattle UC, Inc., P.S. Past Accepting new patients

Locations

3 Digital Dr
Birmingham, AL 35243
Phone (205) 397-1016

805 Saint Vincents Dr
Ste 510
Birmingham, AL 35205
Phone (205) 595-5504

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10041301
  • Direct secure messaging: michaelputman@shcpc.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1871848929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 510",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-595-5504",
            "fax_number": "205-592-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 510",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-595-5504",
            "fax_number": "205-592-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "MICHAEL",
        "middle_name": "DENNIS",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L3313.R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871848929",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.