BIRMINGHAM VASCULAR ASSOCIATES, PC (NPI# 1306978507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306978507 |
| Entity Type | Organization |
| Organization Name | BIRMINGHAM VASCULAR ASSOCIATES, PC |
| Practice Address |
2018 Brookwood Medical Ctr Dr Suite 214 Birmingham AL 35209-6898 |
| Practice Telephone | 2054232495 |
| Practice Fax Number | 2054232498 |
| Mailing Telephone | 2054232495 |
| Mailing Fax Number | 2054232498 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | ROBERT WILLIAM HEIDEPRIEM, III (OWNER) |
| Authorized Official Telephone | 2054232495 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
23846 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
2018 BROOKWOOD MEDICAL CTR DR SUITE 214 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-6898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554620 | Southern Neurology PC | Neurological Surgery | 2018 Brookwood Medical Ctr Dr, Suite 202, Birmingham, AL 35209-6898 | 2005-11-08 |
| 1417303439 | Frank Brotherton | Psychologist | 2018 Brookwood Medical Ctr Dr, Suite 311, Birmingham, AL 35209-6898 | 2016-05-09 |
| 1518358241 | Wellcare Psychiatric Associates | Psychiatry & Neurology | 2018 Brookwood Medical Ctr Dr, Professional Office Building, Suite 311, Birmingham, AL 35209-6898 | 2015-02-17 |
| 1972930055 | Mirelman Urology, PC | Urology | 2018 Brookwood Medical Ctr Dr, Ste 305, Birmingham, AL 35209-6898 | 2013-10-03 |
| 1750631693 | Brookwood Medical Partners Ent, L.L.C. | Otolaryngology | 2018 Brookwood Medical Ctr Dr, Suite 314, Birmingham, AL 35209-6898 | 2012-09-19 |
| 1689936346 | Katie F. Dixon | Nurse Practitioner | 2018 Brookwood Medical Ctr Dr, Ste. 206, Birmingham, AL 35209-6898 | 2012-06-08 |
| 1407125131 | Tammy D Rowe | Audiologist | 2018 Brookwood Medical Ctr Dr, Suite 205, Birmingham, AL 35209-6898 | 2011-12-27 |
| 1669774592 | Iradj Sooudi, D.m.d., P.C. | Dentist | 2018 Brookwood Medical Ctr Dr, Suite 309, Birmingham, AL 35209-6898 | 2010-11-29 |
| 1669780037 | Leslie M. Kahn | Social Worker | 2018 Brookwood Medical Ctr Dr, Suite 310, Birmingham, AL 35209-6898 | 2010-09-20 |
| 1073837399 | Eric Crowe, M.d., LLC | Psychiatry & Neurology | 2018 Brookwood Medical Ctr Dr, Prof. Office Bldg. Ste. 311, Birmingham, AL 35209-6898 | 2010-03-15 |
| Find all providers in the same location | ||||
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700048998 | Barry L. Fields | Surgery | 4700 Southlake Pkwy, Birmingham, AL 35244-3202 | 2008-06-28 |
| 1548242563 | Michael A Drummond | Surgery | 817 Princeton Ave Sw, Suite 306, Birmingham, AL 35211-1333 | 2005-11-16 |
| 1467434498 | Robert Scott Mccord | Surgery | 817 Princeton Avenue Sw, Suite 306, Birmingham, AL 35211 | 2005-11-16 |
| 1457355737 | Gregory Paul Derderian | Surgery | 538 N Old Woodward Ave, Birmingham, MI 48009-5375 | 2005-06-02 |
| 1518220003 | Danielle Christine Sutzko | Surgery | 1808 7th Ave S, Birmingham, AL 35233-1912 | 2012-06-19 |
| 1316235278 | The Vein Center | Surgery | 833 Princeton Ave Sw, Pob IIi, Birmingham, AL 35211-1323 | 2011-07-13 |
| 1144510959 | Graeme Edward Brown Mcfarland | Surgery | 619 19th St S, Birmingham, AL 35249 | 2011-04-13 |
| 1114243003 | Emily Louise Spangler | Surgery | 1808 7th Ave S, Birmingham, AL 35294-1000 | 2010-04-16 |
| 1265603724 | Vascular Institute of Birmingham, PC | Surgery | 2660 10th Ave S, Pob 1, Suite 608, Birmingham, AL 35205-1605 | 2008-03-12 |
| 1932308699 | Benjamin Pearce | Surgery | 619 19th St S, Birmingham, AL 35249-1900 | 2007-07-13 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on BIRMINGHAM VASCULAR ASSOCIATES, PC.
| 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.