Unknown Individual – Orthopaedic Surgery Physician, NPI 1295702025

Unknown Individual is a healthcare provider. based in Birmingham, Alabama. specializing in Orthopaedic Surgery Physician. They hold a License No. 11465 (AL). The NPI Number for Unknown Individual is 1295702025

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295702025
Phone
(205) 939-3699
Address
805 SAINT VINCENTS DR
Deactivation Date
26 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2059393699
Graduation Year
1979 (47 years ago)
PAC ID
8527963941
Group Practice PAC ID
0446554562
Professional Enrollment ID
I20040505000989
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

  • Orthosports Building, 805, Saint Vincent's Drive, Highland Avenue Historic District, Highland Residence Park, Birmingham, Jefferson County, Alabama, 35205, United States

    SUITE 100

    BIRMINGHAM, AL 352051636

    Phone: (205) 939-3699

    Fax: (205) 939-0989

    Mailing address matches the actual address.

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 35205)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYAL27447Repair of knee joint1515

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: 0446554562View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeAL
Internal MedicineAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Occupational Therapist In Private PracticeAL
Physician AssistantAL
Occupational Therapist In Private PracticeGA
Orthopedic SurgeryAL
Family PracticeAL
Physician AssistantAL

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1295702025?
NPI 1295702025 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Alabama is Unknown Individual registered?
Use Birmingham, Alabama as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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