DR. MARK STEPHAN KOVACIK (NPI# 1275552606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275552606 |
| Entity Type | Individual |
| Full Name | DR. MARK STEPHAN KOVACIK |
| Credential | M.D. |
| Practice Address |
2022 Brookwood Medical Center Drive Suite 510 Birmingham AL 35209 |
| Mailing Address |
Po Box 830230 Birmingham AL 35283-0230 |
| Practice Telephone | 2052508100 |
| Practice Fax Number | 2052506848 |
| Mailing Telephone | 2052506000 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
17252 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
2022 BROOKWOOD MEDICAL CENTER DRIVE SUITE 510 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104879741 | Norwood Clinic Inc | Clinic/Center | 2022 Brookwood Medical Center Drive, Suite 510, Birmingham, AL 35209-6898 | 2006-05-17 |
| 1881743128 | Gwendellyn L Mclean Md Pa | Dermatology | 2022 Brookwood Medical Center Drive, Suite 409 Acc, Birmingham, AL 35209 | 2007-01-09 |
| 1154426872 | Greg E Eudy | Internal Medicine | 2022 Brookwood Medical Center Drive, Suite 211, Birmingham, AL 35209 | 2006-09-14 |
| 1780793679 | Marshall Nolan Boone Jr. | Family Medicine | 2022 Brookwood Medical Center Drive, Suite 510, Birmingham, AL 35209 | 2006-08-30 |
| 1477588408 | Timothy C Lee | Internal Medicine | 2022 Brookwood Medical Center Drive, Suite 403, Birmingham, AL 35209-6808 | 2006-07-11 |
| 1245286103 | Jeffrey William Hawkins | Internal Medicine | 2022 Brookwood Medical Center Drive, Siute 510, Birmingham, AL 35209 | 2006-05-25 |
| 1841245800 | Walter Moreland Dunn | Internal Medicine | 2022 Brookwood Medical Center Drive, Suite 510, Birmingham, AL 35209 | 2006-05-24 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750790838 | Mohammad Junaid Humayun | Psychiatry & Neurology | 1719 6th Avenue South, Birmingham, AL 35294-2547 | 2014-08-04 |
| 1033531637 | Sykes Neurology PC | Psychiatry & Neurology | 52 Medical Park Dr E Ste 320, Birmingham, AL 35235-3441 | 2014-01-16 |
| 1871766709 | Neurology Specialists of Al, PC | Psychiatry & Neurology | 513 Brookwood Blvd Ste 360, Birmingham, AL 35209-7826 | 2008-04-11 |
| 1093898918 | Helen I Barkan | Psychiatry & Neurology | 1719 6th Ave S, Circ 312, Birmingham, AL 35294-0001 | 2006-10-23 |
| 1013001148 | Robins J Newton | Psychiatry & Neurology | 2700 10th Ave S Ste 400, Birmingham, AL 35205 | 2006-10-03 |
| 1912918319 | Eroboghene Ekamereno Ubogu | Psychiatry & Neurology | 1720 7th Ave S, Suite 200, Birmingham, AL 35294-0017 | 2006-08-10 |
| 1417989740 | Diane R Counce | Psychiatry & Neurology | 1000 Southlake Park Ste 200, Suite 400b, Birmingham, AL 35244-5700 | 2006-07-07 |
| 1558398172 | Angela Hays Shapshak | Psychiatry & Neurology | Rwuh M226, 619 19th Street South, Birmingham, AL 35249-3280 | 2006-06-27 |
| 1770538233 | Khurram Bashir | Psychiatry & Neurology | 1720 7th Ave South, Birmingham, AL 35233-0017 | 2006-05-23 |
| 1568466597 | Jane Pearson Md Pa | Psychiatry & Neurology | 2660 10th Ave S, Ste 520, Birmingham, AL 35205-1605 | 2005-06-08 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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| 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.