Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent Blackwell

Individual provider Medical Physician Assistant · NPI 1194180331

Brent Blackwell is a Physician Assistant in Birmingham, Alabama. Graduated from University of Alabama School of Medicine in 2015, 11 years ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
11
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

2700 10th Ave S Ste 200
Birmingham, AL 35205-1200
Phone: (205) 938-7838
Fax: (205) 683-2468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (AL)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1194180331
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 15, 2015
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Birmingham