Unknown Individual – Nurse Practitioner, NPI 1366402760

Unknown Individual is a healthcare provider. based in Birmingham, Alabama. specializing in Nurse Practitioner. They hold a License No. 1-076770 (AL). The NPI Number for Unknown Individual is 1366402760

Main info

Organization
Inactive
22 Years Of Experience
Name
Unknown Individual
NPI
1366402760
Phone
(205) 780-7101
Address
PO BOX 12366
Deactivation Date
1 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054537550
Graduation Year
2004 (22 years ago)
PAC ID
1759339732
Group Practice PAC ID
1850640863
Professional Enrollment ID
I20050106000300
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

  • Cadbury, Bournville, Stirchley, Birmingham, West Midlands, England, B30 2LU, United Kingdom

    BIRMINGHAM, AL 352022366

    Phone: (205) 780-7101

    Fax: (205) 206-8338

    Type: Mailing

  • 832, Princeton Avenue Southwest, Elyton, Birmingham, Jefferson County, Alabama, 35211, United States

    BIRMINGHAM, AL 352111320

    Phone: (205) 503-4281

    Fax: (205) 503-4285

    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 35202)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1366402760.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Birmingham, Alabama?
For routing, start with Birmingham, Alabama for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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