Active NPI
Charles Blakely Simpson, MD
- Otolaryngology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- L.5076DP
- Practice address
- 2000 6TH Ave S
Birmingham, AL 35233-2110 - Phone
- (205) 934-9999
- NPI assigned
- Aug 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | J0265 | TX | |
| Otolaryngology Physician | 207Y00000X | L.5076DP | AL | Primary |
Addresses
Primary practice location
2000 6TH Ave S
Birmingham, AL 35233-2110
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117589502 | Medicaid | TX | |
| 117589503 | Other | TX | CIDC |
Other names 1
- C Blakely Simpson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Texas Medical Branch at Galveston, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- University of Alabama Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.5076DP | AL | MD | Otolaryngology Physician |
| J0265 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
Interoperability endpoints
- blakesimpson@direct.uabmedicine.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1992714836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310",
"telephone_number": "205-731-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332110",
"telephone_number": "205-934-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "CHARLES",
"middle_name": "BLAKELY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "J0265",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AL",
"license": "L.5076DP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117589502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIDC",
"identifier": "117589503",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "C",
"last_name": "SIMPSON",
"middle_name": "BLAKELY",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.