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MOUNTAIN BROOK PLASTIC SURGERY AND LASER CENTER NPI 1093939894


NPI Information

NPI: 1093939894
Provider Name: MOUNTAIN BROOK PLASTIC SURGERY AND LASER CENTER
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
2850 CAHABA RD
SUITE 100
BIRMINGHAM, AL
ZIP 35223
Phone: (205) 871-4440
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MOUNTAIN BROOK PLASTIC SURGERY AND LASER CENTER is a plastic and reconstructive surgery surgery in Birmingham, AL. The provider is a surgeon who specializes in plastic and reconstructive surgery. MOUNTAIN BROOK PLASTIC SURGERY AND LASER CENTER NPI is 1093939894. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2850 CAHABA RD
SUITE 100
BIRMINGHAM, AL
ZIP 35223-346
Phone: (205) 871-4440
Fax: (205) 871-7776

The provider's authorized official is Lauren Rives .
The authorized official title is Clinical Manager and has the following contact phone number (205) 871-4440.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.


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
12086S0122XSurgeryPlastic and Reconstructive SurgeryAL16730ALABAMAYes

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
11310014OTHERALABAMAUNITED HEALTH CARE

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

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