Individual provider Active NPI

Eroboghene Ekamereno Ubogu, M.D.

  • Neurology Physician
  • Birmingham, AL
National Provider Identifier
1912918319
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
32789 Issued in AL
Practice address
1720 7TH Ave S
Suite 200
Birmingham, AL 35294-0017
Phone
(205) 934-2120
Fax
(205) 975-6758
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 32789 AL
Clinical Neurophysiology Physician 2084N0600X 32789 AL
Neurology Physician 2084N0400X 32789 AL Primary

Addresses

Primary practice location

1720 7TH Ave S
Suite 200
Birmingham, AL 35294-0017

Mailing address

1720 7TH Ave S
Sparks Center Suite 200
Birmingham, AL 35294-0017
Phone (205) 934-2120

Other practice location 1

1720 2nd Ave S
Birmingham, AL 35233-1806
Phone (205) 934-2120

Other practice location 2

1720 2nd Ave S
Birmingham, AL 35233-1806
Phone (205) 934-2120

Other identifiers 2

IdentifierTypeStateIssuer
196170801MedicaidTX
196170802MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address EEUBOGU@direct.uabmedicine.org Direct University of Alabama Hospital
Direct Messaging Address EEUBOGU@direct.uabmedicine.org Direct University of Alabama Hospital

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
I20131003000031 AL Practitioner - Neurology 3971677295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

2000 6TH Ave S
Birmingham, AL 35233-2110
Phone (205) 937-9999

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32789ALMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 1, 2013 Accepting new patients
Baylor College of Medicine Neurology Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1720 2nd Ave S
Birmingham, AL 35233
Phone (205) 801-9034

1720 7th Ave S
Ste 200
Birmingham, AL 35233
Phone (205) 934-2120

Interoperability endpoints

  • Direct secure messaging: eeubogu@direct.uabmedicine.org

Organizations & group practices 3

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1912918319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 7TH AVE S",
            "address_2": "SPARKS CENTER SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940017",
            "telephone_number": "205-934-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 7TH AVE S",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940017",
            "telephone_number": "205-934-2120",
            "fax_number": "205-975-6758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 2nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331806",
            "country_code": "US",
            "telephone_number": "205-934-2120",
            "fax_number": "205-975-6255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 2nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331806",
            "country_code": "US",
            "telephone_number": "205-934-2120",
            "fax_number": "205-975-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBOGU",
        "first_name": "EROBOGHENE",
        "middle_name": "EKAMERENO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "AL",
            "license": "32789",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "AL",
            "license": "32789",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "32789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196170801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196170802",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EEUBOGU@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1720 2nd Ave S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352331806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EEUBOGU@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1720 2nd Ave S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352331806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.