Unknown Individual – Anesthesiology Physician, NPI 1730131814

Unknown Individual is a healthcare provider. based in Birmingham, Alabama. specializing in Anesthesiology Physician. They hold a License No. 00011246 (AL). The NPI Number for Unknown Individual is 1730131814

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730131814
Phone
(205) 322-3332
Address
1034 23RD ST S
Deactivation Date
8 January 2026

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2514732020
Graduation Year
1975 (51 years ago)
PAC ID
7810800067
Group Practice PAC ID
2961727169
Professional Enrollment ID
I20040310000274
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

  • 1034, 23rd Street South, Highland Avenue Historic District, Highland Residence Park, Birmingham, Jefferson County, Alabama, 35205, United States

    BIRMINGHAM, AL 352052481

    Phone: (205) 322-3332

    Fax: (205) 322-1305

    Type: Mailing

  • 2890, Dauphin Street, Dauphin Acres, Mobile, Mobile County, Alabama, 36606, United States

    MOBILE, AL 366062457

    Phone: (251) 473-2020

    Fax: (205) 322-1305

    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 35205)

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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: 2961727169View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)MS
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)MI
-AL

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1730131814.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Anesthesiology 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 inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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