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BROOKWOOD PRIMARY CARE CAHABA HEIGHTS L.L.C. NPI 1790975217


NPI Information

NPI: 1790975217
Provider Name: BROOKWOOD PRIMARY CARE CAHABA HEIGHTS, L.L.C.

Doing Business As: BROOKWOOD PRIMARY CARE CAHABA HEIGHTS, LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D2109910

Address:
4274 CAHABA HEIGHTS CT
SUITE 130
BIRMINGHAM, AL
ZIP 35243
Phone: (205) 977-8484
Get Directions

BROOKWOOD PRIMARY CARE CAHABA HEIGHTS, L.L.C. is a family medicine in Birmingham, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BROOKWOOD PRIMARY CARE CAHABA HEIGHTS, L.L.C. NPI is 1790975217. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brookwood Primary Care Cahaba Heights, Llc.

The provider's business location address is:

4274 CAHABA HEIGHTS CT
SUITE 130
BIRMINGHAM, AL
ZIP 35243-712
Phone: (205) 977-8484

The provider's authorized official is Wesley O. James .
The authorized official title is Regional Cfo, Tenet and has the following contact phone number (404) 265-5009.

The CLIA number assigned to this NPI record is 01D2109910 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 5/26/2016.


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
1207Q00000XFamily Medicine20180ALABAMAYes

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
1529932928MEDICAIDALABAMA
2G41163MEDICARE PINALABAMA
3510G700010MEDICARE UPINALABAMA

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.