GREYSTONE BACK PAIN CENTER, LLC (NPI# 1831301969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831301969 |
| Entity Type | Organization |
| Organization Name | GREYSTONE BACK PAIN CENTER, LLC |
| Practice Address |
101 Missionary Ridge Suite 200b Birmingham AL 35242 |
| Mailing Address |
P.o. Box 383021 Birmingham AL 35238-3021 |
| Practice Telephone | 2052630288 |
| Practice Fax Number | 2059800133 |
| Mailing Telephone | 2052630288 |
| Mailing Fax Number | 2059800133 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID B WILHELM (PRESIDENT) |
| Authorized Official Telephone | 2052630288 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51000762 | 01 |
| Street Address |
101 MISSIONARY RIDGE SUITE 200B |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891212494 | St Vincents Ambulatory Healthcare Network LLC | Clinic/Center | 7191 Cahaba Valley Rd Ste 102, Birmingham, AL 35242-6443 | 2017-08-24 |
| 1457802183 | Encore Rehab of Homewood | Clinic/Center | 120 Oxmoor Ct, B, Birmingham, AL 35209-6341 | 2016-10-18 |
| 1598210528 | Encore Rehab of Center Point | Clinic/Center | 1687 Center Point Pkwy, Suite 101/bay 10, Birmingham, AL 35215-5528 | 2016-08-19 |
| 1063881464 | Encore Rehabilitation Inc | Clinic/Center | 1355 Bessemer Rd Ste B, Birmingham, AL 35208-4325 | 2015-09-16 |
| 1336415082 | Amazing Physical Therapy and Rehabilitation | Clinic/Center | 1576 Southfield Rd, Birmingham, MI 48009-3004 | 2012-03-27 |
| 1568742252 | Rehab Associates, LLC | Clinic/Center | 900 Arkadelphia Rd, Birmingham Southern College, Birmingham, AL 35254-0002 | 2011-08-25 |
| 1275777336 | Dena H Imhof | Clinic/Center | 1233 18th Ave S, Birmingham, AL 35205-6611 | 2009-04-20 |
| 1710120423 | Select Provider Networks, Inc. | Clinic/Center | 500 Riverhills Business Park Ste 500, Birmingham, AL 35242-5039 | 2009-04-10 |
| 1699910505 | Therapy South Mountain Brook | Clinic/Center | 205 Country Club Park, Birmingham, AL 35213-4237 | 2008-12-05 |
| 1154578524 | Agile Physical Therapy, LLC | Clinic/Center | 3419 Colonnade Pkwy Ste 100, Birmingham, AL 35243-3337 | 2008-08-27 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
Please comment or provide details below to improve the information on GREYSTONE BACK PAIN CENTER, LLC.
| 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.