BROOKWOOD WOMENS DIAGNOSTIC CENTER LLC (NPI# 1013378496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013378496 |
| Entity Type | Organization |
| Organization Name | BROOKWOOD WOMENS DIAGNOSTIC CENTER LLC |
| Practice Address |
2006 Brookwood Medical Center Drive Suite 112 Birmingham AL 35209-6878 |
| Practice Telephone | 4698932000 |
| Mailing Telephone | 4698932000 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2018-02-09 |
| Authorized Official Name | DALE SKRNICH (PRESIDENT) |
| Authorized Official Telephone | 4697793764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
I3773 | AL | Ambulatory Health Care Facilities |
| Street Address |
2006 BROOKWOOD MEDICAL CENTER DRIVE SUITE 112 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-6878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861446734 | Farinna Latisia Willis | Obstetrics & Gynecology | 2006 Brookwood Medical Center Drive, Suite 214, Birmingham, AL 35209-6899 | 2006-05-22 |
| 1174749865 | Christina Entrekin Maddox | Specialist | 2006 Brookwood Medical Center Drive, Ste 310, Birmingham, AL 35209 | 2007-04-18 |
| 1427142637 | Judith Karen Favor | Obstetrics & Gynecology | 2006 Brookwood Medical Center Drive, Suite 700, Birmingham, AL 35209 | 2006-10-03 |
| 1336233543 | Sparks & Favor PC | Obstetrics & Gynecology | 2006 Brookwood Medical Center Drive, Ste 700, Birmingham, AL 35209 | 2006-10-03 |
| 1073606042 | Jimmy Mitchell Sparks | Obstetrics & Gynecology | 2006 Brookwood Medical Center Drive, Ste 700, Birmingham, AL 35209 | 2006-10-02 |
| 1841382322 | Cynthia Harlin Brown | Obstetrics & Gynecology | 2006 Brookwood Medical Center Drive, Suite 700, Birmingham, AL 35209 | 2006-09-29 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655869 | American Heath Imaging of Alabama LLC | Clinic/Center | 509 Brookwood Blvd Ste 111, Birmingham, AL 35209-6801 | 2020-10-08 |
| 1629434881 | Grandview Imaging, LLC | Clinic/Center | 3570 Grandview Pkwy, Suite 102, Birmingham, AL 35243-2064 | 2016-01-04 |
| 1265671630 | Birmingham Radiological Group, PC | Clinic/Center | 100 Pilot Medical Drive, Ste 150, Birmingham, AL 35235 | 2009-02-09 |
| 1568496628 | Brookwood Center Development Corporation | Clinic/Center | 513 Brookwood Blvd Ste 100, Birmingham, AL 35209-6878 | 2006-07-11 |
| 1770519001 | Brookwood Womens Diagnostic Center, LLC | Clinic/Center | 2006 Medical Center Dr Ste 112, Birmingham, AL 35209-6823 | 2006-06-26 |
| 1730164765 | American Heath Imaging of Alabama LLC | Clinic/Center | 2101 4th Ave S, Suite 100, Birmingham, AL 35233-2029 | 2005-12-13 |
| 1538520721 | Brookwood Diagnostic Imaging Center, LLC | Clinic/Center | 513 Brookwood Blvd, Suite 100, Birmingham, AL 35209-6878 | 2016-03-15 |
| 1023137544 | Brookwood Center for Development Corporation | Clinic/Center | 513 Brookwood Blvd Ste 100, Birmingham, AL 35209-6878 | 2007-03-28 |
| 1841215621 | Brookwood Diagnostic Imaging Center, LLC | Clinic/Center | 513 Brookwood Blvd Ste 100, Birmingham, AL 35209-6878 | 2006-07-13 |
| 1952372930 | Meditek/greystone, Inc. | Clinic/Center | 7500 Hugh Daniel Dr, Suite 150, Birmingham, AL 35242-7148 | 2006-01-30 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on BROOKWOOD WOMENS DIAGNOSTIC 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.