Unknown Individual – Emergency Medicine Physician, NPI 1235171919

Unknown Individual is a healthcare provider. based in Birmingham, Alabama. specializing in Emergency Medicine Physician. They hold a License No. 4163 (AL). The NPI Number for Unknown Individual is 1235171919

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1235171919
Phone
(205) 995-7980
Address
1200 CORPORATE DR
Deactivation Date
18 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2567406674
Graduation Year
1970 (56 years ago)
PAC ID
9537162938
Group Practice PAC ID
2961684923
Professional Enrollment ID
I20060823000594
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1200 CORPORATE DR

    SUITE 230

    BIRMINGHAM, AL 352422941

    Phone: (205) 995-7980

    Fax: (205) 995-7985

    Type: Mailing

  • Helen Keller Hospital, 1300, South Montgomery Avenue, Sheffield, Colbert County, Alabama, 35660, United States

    SHEFFIELD, AL 356606334

    Phone: (256) 386-4559

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961684923View full group profile
NameSpecialtyState
Emergency MedicineAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1235171919.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Birmingham, Alabama because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1235171919. Always confirm identity and privileges with the practice and licensing boards.

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