Active NPI
Cedric T Harris, M.D.
- Specialist
- Birmingham, AL
National Provider Identifier
1932140589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12273
- Practice address
- 2006 Brookwood Medical Ctr Dr
WMP Suite 710
Birmingham, AL 35209-6899 - Phone
- (205) 870-1262
- Fax
- (205) 870-0588
- NPI assigned
- Jun 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12273 | AL | Primary |
Addresses
Primary practice location
2006 Brookwood Medical Ctr Dr
WMP Suite 710
Birmingham, AL 35209-6899
Mailing address
2006 Brookwood Medical Ctr Dr
WMP Suite 710
Birmingham, AL 35209-6899
Phone (205) 870-1262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000014894 | Medicaid | AL | |
| 51014894 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12273 | AL | MD | Specialist |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Birmingham, AL
- NPI 1265805600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932140589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 BROOKWOOD MEDICAL CTR DR",
"address_2": "WMP SUITE 710",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096899",
"telephone_number": "205-870-1262",
"fax_number": "205-870-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 BROOKWOOD MEDICAL CTR DR",
"address_2": "WMP SUITE 710",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096899",
"telephone_number": "205-870-1262",
"fax_number": "205-870-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CEDRIC",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "12273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000014894",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51014894",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.