BROOKWOOD MEDICAL PARTNERS ENT, L.L.C. (NPI# 1750631693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750631693 |
| Entity Type | Organization |
| Organization Name | BROOKWOOD MEDICAL PARTNERS ENT, L.L.C. |
| Other Organization Name | BROOKWOOD MEDICAL PARTNERS ENT, LLC |
| Practice Address |
2018 Brookwood Medical Ctr Dr Suite 314 Birmingham AL 35209-6898 |
| Mailing Address |
4902 Valleydale Rd Birmingham AL 35242-4613 |
| Practice Telephone | 2058772950 |
| Practice Fax Number | 2058772952 |
| Mailing Telephone | 2059808099 |
| Mailing Fax Number | 2059802606 |
| Enumeration Date | 2012-09-19 |
| 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 | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Brookwood Medical Partners ENT, LLC | Doing Business As Name - Organization |
| Street Address |
2018 BROOKWOOD MEDICAL CTR DR SUITE 314 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-6898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554620 | Southern Neurology PC | Neurological Surgery | 2018 Brookwood Medical Ctr Dr, Suite 202, Birmingham, AL 35209-6898 | 2005-11-08 |
| 1417303439 | Frank Brotherton | Psychologist | 2018 Brookwood Medical Ctr Dr, Suite 311, Birmingham, AL 35209-6898 | 2016-05-09 |
| 1518358241 | Wellcare Psychiatric Associates | Psychiatry & Neurology | 2018 Brookwood Medical Ctr Dr, Professional Office Building, Suite 311, Birmingham, AL 35209-6898 | 2015-02-17 |
| 1972930055 | Mirelman Urology, PC | Urology | 2018 Brookwood Medical Ctr Dr, Ste 305, Birmingham, AL 35209-6898 | 2013-10-03 |
| 1689936346 | Katie F. Dixon | Nurse Practitioner | 2018 Brookwood Medical Ctr Dr, Ste. 206, Birmingham, AL 35209-6898 | 2012-06-08 |
| 1407125131 | Tammy D Rowe | Audiologist | 2018 Brookwood Medical Ctr Dr, Suite 205, Birmingham, AL 35209-6898 | 2011-12-27 |
| 1669774592 | Iradj Sooudi, D.m.d., P.C. | Dentist | 2018 Brookwood Medical Ctr Dr, Suite 309, Birmingham, AL 35209-6898 | 2010-11-29 |
| 1669780037 | Leslie M. Kahn | Social Worker | 2018 Brookwood Medical Ctr Dr, Suite 310, Birmingham, AL 35209-6898 | 2010-09-20 |
| 1073837399 | Eric Crowe, M.d., LLC | Psychiatry & Neurology | 2018 Brookwood Medical Ctr Dr, Prof. Office Bldg. Ste. 311, Birmingham, AL 35209-6898 | 2010-03-15 |
| 1104059344 | Over The Mountain Internal Medicine LLC | Internal Medicine | 2018 Brookwood Medical Ctr Dr, Ste 315, Birmingham, AL 35209-6898 | 2009-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457724346 | Bw Physician Practices, LLC | Otolaryngology | 513 Brookwood Blvd Ste 260, Birmingham, AL 35209-7844 | 2015-11-02 |
| 1881095149 | Manjunath Maskal Krishnaiah | Otolaryngology | 1808 7 Avenue South, 563 Boshell Building, Birmingham, AL 35292 | 2014-09-05 |
| 1912341892 | Christopher Michael Clark | Otolaryngology | 48 Medical Park Dr E Ste 153, Birmingham, AL 35235-3459 | 2013-04-23 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1972838720 | Malta Naramore | Otolaryngology | 2513 Country Club Cir, Birmingham, AL 35223-1119 | 2009-10-13 |
| 1861699043 | William Henry Barber V | Otolaryngology | 2700 Hwy 280 East, Suite 300, Birmingham, AL 35223 | 2007-06-29 |
| 1124113501 | John Christopher Davis | Otolaryngology | 4515 Southlake Parkway, Suite 300, Birmingham, AL 35244 | 2006-10-03 |
| 1811906126 | Charles Peyton Colvin | Otolaryngology | 3686 Grandview Pkwy 530, Birmingham, AL 35243-3326 | 2006-08-05 |
| 1306888326 | John Arris Jebeles | Otolaryngology | 1809 Gadsden Hwy, Birmingham, AL 35235-3134 | 2006-06-12 |
| 1912974056 | Jack Melvin Dabbs Sr. | Otolaryngology | 652 Lomb Ave, Birmingham, AL 35211 | 2006-03-08 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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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.