OrganizationActive
Over the Mountain Internal Medicine LLC
NPI 1104059344 · Internal Medicine Physician · Birmingham, AL
Provider details
- NPI number
- 1104059344
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vicki Martin, Owner/Physician(205) 877-5400
- License
- 14251 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2018 Brookwood Medical Ctr Dr
Ste 315
Birmingham, AL 35209-6898
Phone: (205) 877-5400
Fax: (205) 877-5040
Street-level locationGet directions
Mailing address
2018 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6898
Registry dates
- Enumerated
- 2009-09-03
- Last updated
- 2009-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.