John T Carpenter Jr., MD
Individual provider Active NPI Hematology & Oncology Physician · Birmingham, AL
NPI 1891736054 · NPPES record last updated Jun 10, 2011
Key facts
- NPI
- 1891736054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 06414 (AL)
- Practice address
- 619 19TH St S
Birmingham, AL 35249-1900 - Phone
- (205) 934-6600
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06414 | AL | MD | Hematology & Oncology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 06414 | AL | Yes |
Addresses
Primary practice location
619 19TH St S
Birmingham, AL 35249-1900
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001014 | Medicaid | AL | |
| C73139 | Other | AL | VIVA |
| 000001014 | Other | AL | BLUE CROSS |
| 6576 | Other | AL | HEALTHSPRING |
Other providers in Birmingham, AL
- Caroline a Reich MD PC
- Caroline Sasser Counseling LLC
- Ariel Esther Carpenter
- Brittney Renae Carpenter
- Jennifer Carpenter
- Timothy Lewis Carpenter
- Gretchen Carpintero Ramirez
- Brandon C. Carr
- Christine Chilton Carr
- Conley James Carr
All providers in Birmingham, AL · Hematology & Oncology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.