Unknown Individual – Gynecologic Oncology Physician, NPI 1417902602

Unknown Individual is a healthcare provider. based in Birmingham, Alabama. specializing in Gynecologic Oncology Physician. They hold a License No. 4232 (AL). The NPI Number for Unknown Individual is 1417902602

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417902602
Phone
(205) 731-9701
Address
PO BOX 55310
Deactivation Date
11 October 2024
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 352555310

    Phone: (205) 731-9701

    Type: Mailing

  • 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 35233

    Phone: (205) 934-6600

    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.

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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 35255)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1417902602.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Birmingham, Alabama for Unknown Individual; download NPPES for the complete set.
What if Birmingham, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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