1063668515 NPI number — ALABAMA NEUROLOGY ASSOCIATES, PC

Table of content: (NPI 1063668515)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063668515 NPI number — ALABAMA NEUROLOGY ASSOCIATES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALABAMA NEUROLOGY ASSOCIATES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063668515
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
509 BROOKWOOD BLVD
Provider Second Line Business Mailing Address:
STE # 101A
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-803-2210
Provider Business Mailing Address Fax Number:
205-803-2214

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
509 BROOKWOOD BLVD
Provider Second Line Business Practice Location Address:
STE # 101A
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35209-6801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-803-2210
Provider Business Practice Location Address Fax Number:
205-803-2214
Provider Enumeration Date:
08/15/2008

Additional Information

Authorized Official

Authorized Official Last Name:
RISER
Authorized Official First Name:
EMILY
Authorized Official Middle Name:
S
Authorized Official Title or Position:
DOCTOR
Authorized Official Telephone Number:
205-803-2210

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  12140 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 174400000X , with the licence number: 12139 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 51505043 . This is a "BCBS PROVIDER # DR JOHN RISER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51505028 . This is a "BCBS PROVIDER # DR. EMILY RISER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51505043 . This is a "MEDICARE PROVIDER NUMBER DR. JOHN RISER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51505028 . This is a "EMILY RISER MEDICARE PROVIDER #" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com