BROOKWOOD PRIMARY CARE-OAK MOUNTAIN, L.L.C. (NPI# 1265720544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265720544 |
| Entity Type | Organization |
| Organization Name | BROOKWOOD PRIMARY CARE-OAK MOUNTAIN, L.L.C. |
| Other Organization Name | BROOKWOOD PRIMARY CARE-OAK MOUNTAIN, LLC |
| Practice Address |
120 Cahaba Valley Pkwy Suite 200 Pelham AL 35124-1185 |
| Mailing Address |
4902 Valleydale Rd Birmingham AL 35242-4613 |
| Practice Telephone | 2057331130 |
| Practice Fax Number | 2055600451 |
| Mailing Telephone | 2059808099 |
| Mailing Fax Number | 2059802606 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Brookwood Primary Care-Oak Mountain, LLC | Doing Business As Name - Organization |
| Street Address |
120 CAHABA VALLEY PKWY SUITE 200 |
| City | PELHAM |
| State | AL |
| Zip Code | 35124-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346204591 | Bhc-cahaba Valley | Internal Medicine | 120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-1185 | 2006-04-14 |
| 1689138067 | Taylor Davis | Physician Assistant | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124 | 2019-01-30 |
| 1710427042 | Scott Hunter | Physician Assistant | 120 Cahaba Valley Pkwy, Pelham, AL 35124-1185 | 2017-03-06 |
| 1144605866 | Haley Jost | Nurse Practitioner | 120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-1185 | 2015-07-23 |
| 1134503774 | Matthew Corey Green | Nurse Practitioner | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1185 | 2015-07-14 |
| 1093136814 | Carrie Garrick | Physical Therapist | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1185 | 2013-12-20 |
| 1245537109 | Nathaniel David Coronado | Physical Therapist | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1185 | 2011-02-11 |
| 1760701080 | Katie Guess | Nurse Practitioner | 120 Cahaba Valley Pkwy, Suite 201, Pelham, AL 35124-1185 | 2010-05-26 |
| 1972735892 | Lawrence I Lee Md LLC | Internal Medicine | 120 Cahaba Valley Pkwy, Suite 203, Pelham, AL 35124-1185 | 2009-08-11 |
| 1063424935 | Lawrence I. Lee | Internal Medicine | 120 Cahaba Valley Pkwy, Suite203, Pelham, AL 35124-1185 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780827071 | Marie C Pittman | Family Medicine | 2705 Pelham Parkway Suite 200, Pelham, AL 35124-1185 | 2009-04-15 |
| 1982816724 | Aubrey Dennis Scott | Family Medicine | 3143 Pelham Pkwy, Suite 100, Pelham, AL 35124-2028 | 2007-05-04 |
| 1750484804 | Thomas James Smitherman IIi | Family Medicine | 30 Racquet Club Pkwy, Pelham, AL 35124-6185 | 2006-09-06 |
| 1447369590 | Robert Craven Snyder Jr. | Family Medicine | 2508 Pelham Pkwy, Pelham, AL 35124-1321 | 2006-08-30 |
| 1801825401 | Jason H. Todd | Family Medicine | 30 Racquet Club Parkway, Pelham, AL 35124 | 2006-07-03 |
| 1942268966 | Kathy O Goff | Family Medicine | 49 Atwood Rd Ste 1, Pelham, NH 03076-3752 | 2006-05-01 |
| 1124093380 | David Brian Drury | Family Medicine | 410 Curry St Ne, Pelham, GA 31779-1457 | 2006-02-21 |
| 1194790626 | Cynthia Parker Drury | Family Medicine | 167 Hand Ave W, Pelham, GA 31779-1268 | 2006-02-20 |
| 1023677697 | 255 Greenwich Medical Services, P.C. | Family Medicine | 15 Canal Rd, Pelham, NY 10803-2706 | 2019-06-07 |
| 1326432923 | Thomas J. Smitherman IIi M.d. PC | Family Medicine | 30 Racquet Club Pkwy, Pelham, AL 35124-6185 | 2015-03-23 |
| Find all providers in PELHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.