BRENT BLACKWELL (NPI# 1194180331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194180331 |
| Entity Type | Individual |
| Full Name | BRENT BLACKWELL |
| Practice Address |
2700 10th Ave S Ste 200 Birmingham AL 35205-1200 |
| Practice Telephone | 2059387838 |
| Practice Fax Number | 2056832468 |
| Mailing Telephone | 2059387838 |
| Mailing Fax Number | 2056832468 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | AL | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2700 10TH AVE S STE 200 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405910 | Alabama Cardiovascular Group, P.C. | Specialist | 2700 10th Ave S, Ste 305, Birmingham, AL 35205-1248 | 2005-05-23 |
| 1760843874 | Catherine Elaine Cusimano | Nurse Practitioner | 2700 10th Ave S, Suite 444, Birmingham, AL 35205-1200 | 2016-03-16 |
| 1902295926 | Lora Shelton | Nurse Practitioner | 2700 10th Ave S, Suite 103, Birmingham, AL 35205-1200 | 2015-01-14 |
| 1548659543 | Emily Bent | Physician Assistant | 2700 10th Ave S, Suite 200, Birmingham, AL 35205-1200 | 2015-01-13 |
| 1841605748 | St Vincents Orthopedics | Orthopaedic Surgery | 2700 10th Ave S, Suite 200, Birmingham, AL 35205-1200 | 2014-06-30 |
| 1972858140 | Chilton County Orthopaedics LLC | Orthopaedic Surgery | 2700 10th Ave S, Suite 200, Birmingham, AL 35205-1200 | 2012-07-13 |
| 1588932685 | Jerry L. Kitchens, Jr., Md, PC | Surgery | 2700 10th Ave S, Suite 510, Birmingham, AL 35205-1200 | 2011-12-05 |
| 1467739599 | Salter & Tapscott Surgical Associates, LLC | Surgery | 2700 10th Ave S, Suite 402, Birmingham, AL 35205-1200 | 2011-11-03 |
| 1639469547 | Ent Imaging, LLC | Otolaryngology | 2700 10th Ave S, Suite 502, Birmingham, AL 35205-1200 | 2011-04-12 |
| 1215267299 | Taneaka Annice Rowe-houser | Nurse Practitioner | 2700 10th Ave S, Suite 305, Birmingham, AL 35205-1200 | 2010-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679295 | Maltiece O'neal El | Physician Assistant | 1331 14th Ave S Apt 12, Birmingham, AL 35205-5341 | 2020-11-02 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1437769981 | Kelsey Marie Robinson | Physician Assistant | 2400 Mahaska Dr, Birmingham, AL 35244-2241 | 2020-08-08 |
| 1508475740 | Stephanie Joseph Gilkey | Physician Assistant | 1505 Pleasant Ct, Birmingham, MI 48009-2909 | 2020-07-23 |
| 1619591922 | Alec Weil | Physician Assistant | 1400 19th St S, Birmingham, AL 35205-4903 | 2020-06-02 |
| 1689293888 | Molly Lynn Miller | Physician Assistant | 619 19th St S Fl 6, Birmingham, AL 35249-1900 | 2020-04-09 |
| 1730712571 | Emily Fallon Wilson | Physician Assistant | 3686 Grandview Pkwy Ste 530, Birmingham, AL 35243-3405 | 2020-02-20 |
| 1538791074 | Caroline Garrison Inge | Physician Assistant | 2700 10th Ave S Ste 505, Birmingham, AL 35205-1250 | 2020-02-11 |
| 1770114274 | Christopher Hopfner | Physician Assistant | 1809 Haynes St, Birmingham, MI 48009-6822 | 2020-02-03 |
| 1821550815 | Rebecca Brajak | Physician Assistant | 48 Medical Park Dr E Ste 150, Birmingham, AL 35235-3456 | 2019-04-01 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
Please comment or provide details below to improve the information on BRENT BLACKWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.