Jonathan P Southworth
BROOKWOOD MEDICAL GROUP, P. C.


Address: 2018 Brookwood Med Ctr Dr, Suite G 5 Prof Bldg, Birmingham, AL 35209-6898
Phone: 2058772900

Jonathan P Southworth (NPI# 1831161611, PAC ID# 5991799025) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1831161611
PAC ID by PECOS 5991799025
Professional Enrollment ID I20040412001662
Full Name Jonathan P Southworth
Organization Legal Name BROOKWOOD MEDICAL GROUP, P. C.
Address 2018 Brookwood Med Ctr Dr
Suite G 5 Prof Bldg
Birmingham
AL 35209-6898
Phone Number 2058772900
Gender M
Credential MD
Medical School WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year 2001
Primary Specialty INTERNAL MEDICINE
Secondary Specialties FAMILY PRACTICE
Group Practice PAC ID 2668499286
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
010059 LAWRENCE MEDICAL CENTER
010139 BROOKWOOD MEDICAL CENTER
250004 NORTH MISSISSIPPI MEDICAL CENTER

Other Locations

Address Phone Organization
2018 Brookwood Med Ctr Dr, Suite G 5 Prof Bldg, Birmingham, AL 35209-6898 2058772900 BROOKWOOD MEDICAL GROUP, P. C.
2018 Brookwood Med Ctr Dr, Birmingham, AL 35209-6898 2058772900 BROOKWOOD MEDICAL GROUP, P. C.

Organization Information

Organization Legal Name BROOKWOOD MEDICAL GROUP, P. C.
Physicians 1

Office Location

Street Address 2018 BROOKWOOD MED CTR DR
SUITE G 5 PROF BLDG
City BIRMINGHAM
State AL
Zip 35209-6898

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Competitor

Search similar physicians

City BIRMINGHAM
Zip Code 35209
Specialty INTERNAL MEDICINE
City + Specialty BIRMINGHAM + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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