GREGORY H RANDLE CRNA
NPI 1063499374
Nurse Anesthetist, Certified Registered in Birmingham, AL

Q: What is Gregory Randle's NPI number?

The NPI number for Gregory Randle is 1063499374. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is Gregory Randle's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Randle was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2005Accepts Medicare Assignment

1201 11TH AVE S, BIRMINGHAM, AL 35205(205) 930-7296(205) 930-7256 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Gregory H Randle Crna NPPES

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

GREGORY H RANDLE CRNA (NPI 1063499374) is an individual nurse anesthetist, certified registered in Birmingham, Alabama, licensed in Alabama (1-043822) and active in the NPI registry since December 2005. He is a graduate of Other (1989).

NPPES Registry Identity

NPI1063499374

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameGREGORY H RANDLECredential: CRNA

Location Address1201 11TH AVE SBirmingham, AL 35205-3423

Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701 · Fax (205) 297-9411

Phone(205) 930-7296

Fax(205) 930-7256

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateDecember 28, 2005

Last NPPES UpdateMay 10, 2017

✔ NPI 1063499374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in AL · 1-043822

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1201 11TH AVE S, Birmingham, AL 35205

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Other Identifiers 5

Medicare UPINR77114AL

OtherP00439520AL · Railroad Medicare

Medicaid051557605AL

Medicare PIN051557605AL

Other510-03663AL · Bc Bs Of Al

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gregory H Randle Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426060088

PECOS Enrollment IDI20060622000265

Medicare Billing Reassignments

Medicare enrollment records show Gregory Randle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama At Birmingham

0.5 mi

Optometrist

1701 9TH AVE S
Birmingham, AL 35294

Reassigned Medicare billing, Alabama enrollment
460 clinicians in this Medicare group

NPI 1780791376 (205) 934-5161

University Of Alabama Health Services Foundation, PC

0.6 mi

Pediatrics

1600 7TH AVE S
Birmingham, AL 35233

Reassigned Medicare billing, Alabama enrollment
4,494 clinicians in this Medicare group

NPI 1356377576 (205) 939-9100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANYET BELYEU

Nurse Practitioner (Acute Care)