Individual provider Active NPI

Scott Ross Weisberg, M.D.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1912998147
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22747 Issued in AL
Practice address
2151 Highland Ave S
Suite 320
Birmingham, AL 35205-4079
Phone
(205) 877-8677
Fax
(205) 877-8675
NPI assigned
Nov 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22747 AL Primary
Family Medicine Physician 207Q00000X ME77956 FL
Family Medicine Physician 207Q00000X 044374 GA

Addresses

Primary practice location

2151 Highland Ave S
Suite 320
Birmingham, AL 35205-4079

Mailing address

2151 Highland Ave S
Suite 320
Birmingham, AL 35205-4079
Phone (205) 877-8677

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
I20050407000533 AL Practitioner - Family Practice 5799732186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birmingham AIDS OutreachGroup PAC ID 6608129747, 6 clinicians

Practice addresses (Care Compare)

3220 5TH Ave S
Suite 100
Birmingham, AL 35222-2309
Phone (205) 877-8677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22747ALMDFamily Medicine Physician
ME77956FLMDFamily Medicine Physician
044374GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1912998147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 HIGHLAND AVE S",
            "address_2": "SUITE 320",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054079",
            "telephone_number": "205-877-8677",
            "fax_number": "205-877-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 HIGHLAND AVE S",
            "address_2": "SUITE 320",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054079",
            "telephone_number": "205-877-8677",
            "fax_number": "205-877-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBERG",
        "first_name": "SCOTT",
        "middle_name": "ROSS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "22747",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME77956",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "044374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.