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LOGAN BEACH
NPI 1669176541
Emergency Medicine in Birmingham, AL

Active since March 27, 2023PECOS Enrolled
625 19TH ST S, BIRMINGHAM, AL 35233(205) 934-3640 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Logan Beach NPPES

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

LOGAN BEACH (NPI 1669176541) is an individual emergency medicine provider in Birmingham, Alabama, licensed in Alabama (MD.49509) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2023).

NPPES Registry Identity

NPI1669176541
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameLOGAN BEACH
Location Address625 19TH ST SBirmingham, AL 35233-1900
Mailing Address625 19th St SBirmingham, AL 35233-1900
Phone(205) 934-3640
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2023
Enumeration DateMarch 27, 2023
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1669176541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AL · MD.49509
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
625 19TH ST S, Birmingham, AL 35233
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Beach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234599945
PECOS Enrollment IDI20251209000195
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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.

RUI ZHENG-PYWELL MD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-3288
CYDNEY NICHOLE TERRYN MD
Psychiatry & Neurology (Psychiatry)
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-0727
TODD WILLIAM MUDD JR.
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-2490
DAVID W MERKLEY DO
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-4696
DR. SERDAR AKKOL MD, PHD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-3756
MATTHEW GUILFORD LONG
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-6007
AMANDA MARINELLO
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-7104
BENJAMIN ROWLAND MD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 975-0208

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 Logan Beach's NPI number?

The NPI number for Logan Beach is 1669176541. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Logan Beach located?

Logan Beach practices at 625 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-3640.

What is Logan Beach's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Logan Beach enrolled in Medicare?

Yes. Logan Beach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Logan Beach was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.