Active NPI
Victor Joseph Costa, C.PED
- Prosthetics Case Management
- Homewood, AL
National Provider Identifier
1962620419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- CPED2448
- Practice address
- 2856 18TH St S
Homewood, AL 35209-2510 - Phone
- (205) 879-2329
- NPI assigned
- Apr 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | CPED2448 | AL | Primary |
Addresses
Primary practice location
2856 18TH St S
Homewood, AL 35209-2510
Mailing address
1127 30TH St S
Birmingham, AL 35205-1103
Phone (205) 354-3634
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPED2448 | AL | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962620419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 30TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051103",
"telephone_number": "205-354-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2856 18TH ST S",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352092510",
"telephone_number": "205-879-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "VICTOR",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "C.PED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "AL",
"license": "CPED2448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, 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.