1841244886 NPI number — VASCULAR ASSOCIATES OF BIRMINGHAM, PC

Table of content: (NPI 1841244886)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841244886 NPI number — VASCULAR ASSOCIATES OF BIRMINGHAM, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VASCULAR ASSOCIATES OF BIRMINGHAM, 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:
MICHAEL A DRUMMOND, MD, PC
Provider Other Organization Name Type Code:
4
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:
1841244886
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
817 PRINCETON AVE SW
Provider Second Line Business Mailing Address:
SUITE 306
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35211-1333
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-783-0160
Provider Business Mailing Address Fax Number:
205-788-6249

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
817 PRINCETON AVE SW
Provider Second Line Business Practice Location Address:
SUITE 306
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35211-1333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-783-0160
Provider Business Practice Location Address Fax Number:
205-788-6249
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCCORD
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
SCOTT
Authorized Official Title or Position:
PRESIDENT/PHYSICIAN
Authorized Official Telephone Number:
205-783-0160

Provider Taxonomy Codes

  • Taxonomy code: 2086S0129X , with the licence number:  00013686 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2086S0129X , with the licence number: 00019081 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2086S0129X , with the licence number: 00021035 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2086S0129X , with the licence number: 00023846 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363AS0400X , with the licence number: TA-1645 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 000024104 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00089937 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009932034 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051512731 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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