PATRIOT HEALTHCARE OF ALABAMA, LLC (NPI# 1093284457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093284457 |
| Entity Type | Organization |
| Organization Name | PATRIOT HEALTHCARE OF ALABAMA, LLC |
| Practice Address |
2045 Brookwood Medical Center Drive Suite 1 Birmingham AL 35209 |
| Mailing Address |
100 Arricola Avenue St. Augustine FL 32080 |
| Practice Telephone | 2053810011 |
| Mailing Telephone | 9048254368 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | DAVID A. CULVER (ADMINISTRATOR) |
| Authorized Official Telephone | 9048254368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PHC of AL Brookwood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507692 | Patriot Healthcare of Alabama, LLC | Family Medicine | One West Lakeshore Drive, Suite 250, Birmingham, AL 35209 | 2018-11-15 |
| Street Address |
2045 BROOKWOOD MEDICAL CENTER DRIVE SUITE 1 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 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 |
| 1053716837 | Kelly Watson | Occupational Therapist | 1662-a Lakeshore Court, Birmingham, AL 35209 | 2014-10-23 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507692 | Patriot Healthcare of Alabama, LLC | Family Medicine | One West Lakeshore Drive, Suite 250, Birmingham, AL 35209 | 2018-11-15 |
| 1669617825 | Sameera Davuluri | Family Medicine | 619 19th St S, Birmingham, AL 35249-1900 | 2008-12-02 |
| 1063623015 | Rebecca Worrell Jones | Family Medicine | 3000 Soutlake Park Suite 100, Birmingham, AL 35244 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980381 | Dinor PC | Family Medicine | 805 Flagg Cir # Al, Florence, AL 35630-3362 | 2020-07-29 |
| 1275038549 | Julie Grace Knop | Family Medicine | 909 University Way, Centreville, AL 35042-7501 | 2018-03-28 |
| 1497082218 | Saquib Anjum | Family Medicine | 541 W. College St., Suite 3100, Florence, AL 35630-5323 | 2009-11-16 |
| 1093753600 | Richard R. Cunningham D.o. P.a. | Family Medicine | 91 Six Pence Rd, Killen, AL 35645-5438 | 2006-06-04 |
| 1407850126 | Russell Dean Ulrich | Family Medicine | 25 Roundtree Dr, Piedmont, AL 36272-5893 | 2005-06-09 |
| 1750883690 | Lhf Billing | Family Medicine | 1600 W Hobbs St, Athens, AL 35611-2333 | 2018-03-07 |
| 1174727564 | Akshai Janakiram Vitheswaran | Family Medicine | 201 Sivley Rd Sw, Ste.500, Huntsville, AL 35801-5134 | 2007-06-12 |
| 1700943602 | Piedmont Family Practice Center PC | Family Medicine | 800 Memorial Dr, Piedmont, AL 36272-6631 | 2007-01-02 |
| 1679637912 | Geriatric Associates of Montgomery, PC | Family Medicine | 1230 Carmichael Way, Montgomery, AL 36106-3671 | 2006-12-21 |
| 1013018977 | John P Hagler | Family Medicine | 7051 Fain Park Dr, Ste 114, Montgomery, AL 36117-7816 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on PATRIOT HEALTHCARE OF ALABAMA, 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.