DR. MARVIN KERON VICKERS III (NPI# 1639227481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639227481 |
| Entity Type | Individual |
| Full Name | DR. MARVIN KERON VICKERS III |
| Credential | D.C. |
| Practice Address |
3940 Grants Mill Rd Birmingham AL 35210-1204 |
| Mailing Address |
6005 Ridge Trl Birmingham AL 35242 |
| Practice Telephone | 2059512204 |
| Practice Fax Number | 2059512242 |
| Mailing Telephone | 2059950340 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1933 | AL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | UNITED HEALTHCARE | 4410443 | 01 |
| AL | VIVA | U80955 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649381864 | Marvin Haber Vickers Jr. | Surgery | 2227 Breakwater Dr, Knoxville, TN 37922-5678 | 2006-08-31 |
| Street Address |
3940 GRANTS MILL RD |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35210-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942556576 | Vickers Chiropractic, Inc | Chiropractor | 3940 Grants Mill Rd, Birmingham, AL 35210 | 2012-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1689147068 | Greater Birmingham Transportation Services | Taxi | 5804 Oporto Madrid Blvd S, Birmingham, AL 35210 | 2019-01-08 |
| 1053802009 | Konda Keebler | Nurse Practitioner | 7001 Crestwood Blvd/suite 804, Birmingham, AL 35210 | 2018-05-25 |
| 1841675865 | Kolbe Clinic LLC | Counselor | 1830 Montclair Rd Ste A, Irondale, AL 35210 | 2015-07-21 |
| 1609270826 | Patricia Abrahan Ocampo | Occupational Therapist | 5000 Grantswood Rd Ste 220, Irondale, AL 35210 | 2014-10-17 |
| 1154766905 | John Charles Hammond | Psychiatry & Neurology | 4984 Overton Rd, Birmingham, AL 35210 | 2013-05-07 |
| 1073807871 | Farah Yasmeen Ghori-javed | Internal Medicine | 4500 Montevallo Rd Ste B101, Irondale, AL 35210 | 2011-06-09 |
| 1134459084 | Hospice Advantage, LLC. | Hospice Care, Community Based | 2435 1st Avenue South, Irondale, AL 35210 | 2009-12-28 |
| 1902063555 | Robert Lumpkin | Dentist | 7970 Crestwood Blvd, Irondale, AL 35210 | 2008-05-21 |
| 1205920725 | Stacey Shipman | Speech-Language Pathologist | 4778 Overton Road, Birmingham, AL 35210 | 2006-10-02 |
| Find all providers in zip 35210 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1356971816 | Daniel Oquinn II | Chiropractor | 215 Narrows Pkwy Ste A, Birmingham, AL 35242-8623 | 2020-01-23 |
| 1205476330 | Austin Hyer Webster | Chiropractor | 725 S Adams Rd Ste 198, Birmingham, MI 48009-6992 | 2020-01-07 |
| 1821637133 | James J Dwan Dc, Pllc | Chiropractor | 2151 E 14 Mile Rd Ste 200, Birmingham, MI 48009-7260 | 2020-01-03 |
| 1982245551 | Health Star North Inc | Chiropractor | 3419 Colonnade Pkwy Ste 500, Birmingham, AL 35243-3227 | 2019-10-03 |
| 1144883000 | Forge Chiropractic LLC | Chiropractor | 5424 1st Ave N, Birmingham, AL 35212-2404 | 2019-04-17 |
| 1487156477 | Pinnacle Health Center, Inc | Chiropractor | 1715 11th Ave S Ste B, Birmingham, AL 35205-4704 | 2018-03-06 |
| 1295236073 | Raymond Knorr | Chiropractor | 2413 2nd Ave S, Ste 100, Birmingham, AL 35233 | 2018-02-26 |
| 1730539842 | Marcus S Williams | Chiropractor | 2025 Old Montgomery Hwy, Birmingham, AL 35244-1606 | 2016-06-20 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35210 |
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| 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.