Individual provider Active NPI

Bryan Lee Balentine, MD

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1881614451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25466 Issued in AL
Practice address
800 Montclair Rd
Birmingham, AL 35213-1908
Phone
(205) 592-1400
Fax
(205) 592-5159
NPI assigned
Jul 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25466 AL Primary

Addresses

Primary practice location

800 Montclair Rd
Birmingham, AL 35213-1908

Mailing address

1200 Corporate Dr
Suite 230
Birmingham, AL 35242-2941
Phone (205) 995-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC, GA, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040402000620 AL Practitioner - Emergency MedicinePractitioner - Family Practice 4284626763 Reassigns benefits to 2 organizations
I20230504002225 SC Practitioner - Emergency Medicine 4284626763 Reassigns benefits to 1 organization
I20230724003333 GA Practitioner - Emergency Medicine 4284626763 Reassigns benefits to 3 organizations
I20240530002360 TN Practitioner - Emergency Medicine 4284626763 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Georgia-TCG, PC Emergency Medicine CurrentSince Jul 6, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 10, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Sep 14, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Georgia PC Emergency Medicine CurrentSince Jul 6, 2023 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Southern Medical Group, Inc Emergency Medicine Past Accepting new patients
Southern Medical Group Inc Emergency Medicine Past Accepting new patients
Trinity Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Trinity Emergency Physicians, LLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881614451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR",
            "address_2": "SUITE 230",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422941",
            "telephone_number": "205-995-7980",
            "fax_number": "205-995-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONTCLAIR RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131908",
            "telephone_number": "205-592-1400",
            "fax_number": "205-592-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALENTINE",
        "first_name": "BRYAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "25466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.