NICHOLAS PHAM MD
NPI 1902690787
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Q: What is Nicholas Pham's NPI number?

The NPI number for Nicholas Pham is 1902690787. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Q: What is Nicholas Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Pham was last updated on May 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 07, 2025PECOS Enrolled

1700 6TH AVE S, BIRMINGHAM, AL 35233(205) 934-1901 Get Directions Write a Review

NPPES record last updated: May 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 24, 2026, Apr 7, 2025 (2 updates tracked since 2025).

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About Nicholas Pham Md NPPES

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

NICHOLAS PHAM MD (NPI 1902690787) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902690787

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS PHAMCredential: MD

Location Address1700 6TH AVE SBirmingham, AL 35233-1802

Mailing Address1700 6th Ave SBirmingham, AL 35233-1802

Phone(205) 934-1901

Sole ProprietorNo

Enumeration DateApril 7, 2025

Last NPPES UpdateMay 24, 20262 updates tracked since enumeration

NPPES CertifiedMay 24, 2026

✔ NPI 1902690787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1700 6TH AVE 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)

Nicholas Pham Md 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.

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.

DREXELL H BOGGS M.D.

Radiology (Radiation Oncology)

1700 6TH AVE S, RM: 2253
BIRMINGHAM, AL 35233

Jefferson County (205) 975-9399

MADISON THOMAS HULKER WHNP

Nurse Practitioner (Women's Health)