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RICHARD LEROY ELLIS MD
NPI 1104010206
General Practice in Birmingham, AL

Active since August 31, 2007
2657 PARK LANE CT EAST--UNIT F, BIRMINGHAM, AL 35223(205) 879-1386 Get Directions Write a Review

NPPES record last updated: August 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Leroy Ellis Md NPPES

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

RICHARD LEROY ELLIS MD (NPI 1104010206) is an individual general practice provider in Birmingham, Alabama, licensed in Alabama (DO145) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1104010206
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRICHARD LEROY ELLISCredential: MD
Location Address2657 PARK LANE CT EAST--UNIT FBirmingham, AL 35223
Mailing Address2657 Park Lane Ct East--unit FBirmingham, AL 35223 · (205) 879-1386
Phone(205) 879-1386
Sole ProprietorYes
Enumeration DateAugust 31, 2007
✔ NPI 1104010206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AL · DO145
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2657 PARK LANE CT EAST--UNIT F, Birmingham, AL 35223
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Ellis's NPI number?

The NPI number for Richard Ellis is 1104010206. It was assigned to this individual provider in the NPPES registry on August 31, 2007.

Where is Richard Ellis located?

Richard Ellis practices at 2657 Park Lane Ct East--Unit F, Birmingham, AL 35223. The listed phone number is (205) 879-1386.

What is Richard Ellis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Richard Ellis was last updated on August 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.