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KENNETH MARK MIDDLEBROOKS MD PC NPI 1700897816


NPI Information

NPI: 1700897816
Provider Name: KENNETH MARK MIDDLEBROOKS MD PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
100 PILOT MEDICAL DRIVE
SUITE 125
BIRMINGHAM, AL
ZIP 35235
Phone: (205) 380-0848
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KENNETH MARK MIDDLEBROOKS MD PC is a specialist in Birmingham, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KENNETH MARK MIDDLEBROOKS MD PC NPI is 1700897816. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 PILOT MEDICAL DRIVE
SUITE 125
BIRMINGHAM, AL
ZIP 35235-430
Phone: (205) 380-0848

The provider's authorized official is Kim York .
The authorized official title is Billing And Credentialing and has the following contact phone number (205) 854-1111.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 11/24/2009.


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
1174400000XSpecialist207RI0200XALABAMAYes

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
1C73761MEDICARE UPINALABAMA
2K889MEDICARE PINALABAMA
3=========OTHERALABAMATAX ID
41891742706OTHERALABAMAINDIVIDUAL NPI
5000089762MEDICAIDALABAMA
6000089762MEDICARE PINALABAMA

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.