Unknown Individual – Geriatric Medicine (Family Medicine) Physician, NPI 1346347937

Unknown Individual is a healthcare provider. based in Birmingham, Alabama. specializing in Geriatric Medicine (Family Medicine) Physician. They hold a License No. 04-13053 (KS). The NPI Number for Unknown Individual is 1346347937

Main info

Organization
Inactive
63 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346347937
Phone
(706) 271-0100
Address
PO BOX 2153 DEPT 40339
Deactivation Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9136312273
Graduation Year
1963 (63 years ago)
PAC ID
0749199826
Group Practice PAC ID
5395861306
Professional Enrollment ID
I20051103000485
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

  • PO BOX 2153 DEPT 40339

    BIRMINGHAM, AL 352879387

    Phone: (706) 271-0100

    Type: Mailing

  • 10550, Quivira Road, Overland Park, Johnson County, Kansas, 66215, United States

    SUITE 530

    OVERLAND PARK, KS 662152306

    Phone: (913) 599-3828

    Fax: (913) 599-3451

    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 35287)

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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: 5395861306View full group profile
NameSpecialtyState
Nurse PractitionerWY
Nurse PractitionerHI
Family PracticeHI
Family PracticeCO
Internal Medicine, Geriatric MedicineCO
Family Practice, Geriatric MedicineAL
Family PracticeWY
Internal MedicineHI
-AL
Internal MedicineHI

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1346347937 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Geriatric Medicine (Family Medicine) Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Birmingham, Alabama for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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