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SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE & SPINE CENTER PC NPI 1043268402


NPI Information

NPI: 1043268402
Provider Name: SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE & SPINE CENTER PC

Doing Business As: SOUTHLAKE ORTHOPAEDICS

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
4517 SOUTHLAKE PKWY
BIRMINGHAM, AL
ZIP 35244
Phone: (205) 985-4111
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SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE & SPINE CENTER PC is an orthopaedic surgery in Birmingham, AL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE & SPINE CENTER PC NPI is 1043268402. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southlake Orthopaedics.

The provider's business location address is:

4517 SOUTHLAKE PKWY
BIRMINGHAM, AL
ZIP 35244-280
Phone: (205) 985-4111
Fax: (205) 985-4326

The provider's authorized official is Michael Frances Blum .
The authorized official title is President and has the following contact phone number (205) 985-4111.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 2/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist9307ALABAMANo
2207XS0106XOrthopaedic SurgeryHand SurgeryNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
42081S0010XPhysical Medicine & RehabilitationSports MedicineNo
5222Z00000XOrthotistNo
6224L00000XPedorthistNo
7224P00000XProsthetistNo
8225000000XOrthotic FitterNo
9225100000XPhysical TherapistNo
10208100000XPhysical Medicine & RehabilitationNo
11207X00000XOrthopaedic SurgeryYes
12363A00000XPhysician AssistantNo
13207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
14225X00000XOccupational TherapistNo
152471M1202XRadiologic TechnologistMagnetic Resonance ImagingNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1529802230MEDICAIDALABAMA
2G715OTHERALABAMAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.