BETHANY TIDWELL
NPI 1790197937
Nurse Practitioner - Women's Health in Birmingham, AL
About Bethany Tidwell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY TIDWELL (NPI 1790197937) is an individual women's health provider in Birmingham, Alabama, licensed in Alabama (1-128579) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bethany Tidwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bethany Tidwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
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 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.
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.
BIRMINGHAM, AL 35233
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 Bethany Tidwell's NPI number?
The NPI number for Bethany Tidwell is 1790197937. It was assigned to this individual provider in the NPPES registry on May 22, 2014.
Where is Bethany Tidwell located?
Bethany Tidwell practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (800) 822-8816.
What is Bethany Tidwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Bethany Tidwell enrolled in Medicare?
Yes. Bethany Tidwell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bethany Tidwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Tidwell reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bethany Tidwell accept?
Health plans from Blue Cross and Blue Shield of Alabama list Bethany Tidwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bethany Tidwell was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bethany Tidwell · NPI 1790197937
Women's Health physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since May 22, 2014.
## Identity
- **NPI:** 1790197937 (Entity type: Individual)
- **Enumerated:** May 22, 2014
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 1-128579 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1717 6TH AVE S, Birmingham, AL 35233-1801
- **Phone:** (800) 822-8816
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Alabama Health Services Foundation, PC (NPI 1124213376, Birmingham, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790197937) · Data from the CMS NPPES public registry.