KIMBERLY M FAGAN M.D.
NPI 1033200167
Specialist in Birmingham, AL

Q: What is Kimberly Fagan's NPI number?

The NPI number for Kimberly Fagan is 1033200167. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Kimberly Fagan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Fagan was last updated on February 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 27, 2006PECOS Enrolled

3125 INDEPENDENCE DR, SUITE 300A, BIRMINGHAM, AL 35209(205) 879-8206(205) 271-3075 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kimberly M Fagan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY M FAGAN M.D. (NPI 1033200167) is an individual specialist in Birmingham, Alabama, licensed in Alabama (14105) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033200167

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKIMBERLY M FAGANCredential: M.D.

Location Address3125 INDEPENDENCE DR, SUITE 300ABirmingham, AL 35209-4159

Mailing Address3125 Independence Dr, Suite 300aBirmingham, AL 35209-4159 · (205) 879-8206 · Fax (205) 271-3075

Phone(205) 879-8206

Fax(205) 271-3075

Sole ProprietorYes

Enumeration DateSeptember 27, 2006

Last NPPES UpdateFebruary 9, 2016

✔ NPI 1033200167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AL · 14105

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3125 INDEPENDENCE DR, Birmingham, AL 35209

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Other Identifiers 2

Medicare UPINC73789AL

OtherI621AL · Medicare Id Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly M Fagan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.